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Volume 44j Number 5 
Pages 757-892 
March 1, 2019 


SALUS POPULI SUPREMA LEX ESTO 

“The welfare of the people shall be the supreme law.” 





John R. Ashcroft 
Secretary of State 





MI 

EGI 


OURI 

TE 








The Missouri Register is an official publication of the state of Missouri, under the authority granted to 
the secretary of state by sections 536.015 and 536.033, RSMo 2016. Reproduction of rules is allowed; 
however, no reproduction shall bear the name Missouri Register or “official” without the express per¬ 
mission of the secretary of state. 

The Missouri Register is published semi-monthly by 

Secretary of State 

John R. Ashcroft 

Administrative Rules Division 
James C. Kirkpatrick State Information Center 
600 W. Main 
Jefferson City, MO 65101 
(573) 751-4015 

Editor-in-Chief 
Curtis W. Treat 

Managing Editor 
Amanda McKay 

Editor 

VONNE KlLBOURN 

Associate Editor 
Marty Spann 

Publication Specialist 
Jacqueline D. White 

Administrative Aide 
Tammy Winkelman 

Reader 
Thomas Huber 

ISSN 0149-2942, USPS 320-630; periodical postage paid at Jefferson City, MO 

Subscription fee: $72.00 per year 

POSTMASTER: Send change of address notices and undelivered copies to: 

MISSOURI REGISTER 
Office of the Secretary of State 
Administrative Rules Division 
PO Box 1767 
Jefferson City, MO 65102 

The Missouri Register and Code of State Regulations (CSR) are available on the Internet. The Register address is 
www.sos.mo.gov/admles/moreg/moreg and the CSR is www.sos.mo.gov/admles/csr/csr . These websites contain rulemakings and regu¬ 
lations as they appear in the paper copies of the Registers and CSR. The Administrative Rules Division may be contacted by email at 
rules@sos. mo. gov. 

The secretary of state’s office makes every effort to provide program accessibility to all citizens without regard to disability. If you desire 
this publication in alternate form because of a disability, please contact the Division of Administrative Rules, PO Box 1767, Jefferson City, 
MO 65102, (573) 751-4015. Hearing impaired citizens should contact the director through Missouri relay, (800) 735-2966. 





Missouri 

March 1, 2019 



Register 

Vol. 44 No. 5 Pages 757-892 


In This Issue: 


EMERGENCY RULES 

Department of Social Services 

Missouri Medicaid Audit and Compliance.761 

EXECUTIVE ORDERS 763 

PROPOSED RULES 

Department of Elementary and Secondary Education 

Division of Learning Services .774 

Department of Higher Education 

Commissioner of Higher Education.774 

Department of Mental Health 

Director, Department of Mental Health .779 

Certification Standards .781 

Division of Developmental Disabilities.784 

Department of Public Safety 

Division of Alcohol and Tobacco Control.787 

Department of Revenue 

Director of Revenue.789 

Department of Social Services 

Division of Finance and Administrative Services .789 

Elected Officials 

State Auditor .792 

Department of Health and Senior Services 

Missouri State Public Health Laboratory.817 

Department of Insurance, Financial Institutions 
and Professional Registration 

Office of Athletics.820 

State Board of Nursing.843 


ORDERS OF RULEMAKING 

Office of Administration 

Division of Facilities Management, Design and 


Construction .846 

Purchasing and Materials Management.847 


Department of Natural Resources 

State Environmental Improvement and Energy Resources 


Authority .848 

Department of Social Services 

Division of Aging .848 

Children’s Division .849 

Family Support Division.849 

Missouri Medicaid Audit and Compliance.850 

MO HealthNet Division .851 

Division of Youth Services.852 

Department of Health and Senior Services 

Missouri Board of Nursing Home Administrators.853 

Department of Insurance, Financial Institutions 
and Professional Registration 

State Board of Chiropractic Examiners.853 

Missouri Dental Board.854 

IN ADDITIONS 

Department of Health and Senior Services 

Missouri Health Facilities Review Committee .855 

Department of Insurance, Financial Institutions and 
Professional Registration 

Applied Behavior Analysis Maximum Benefit .855 

DISSOLUTIONS 856 

SOURCE GUIDES 

RULE CHANGES SINCE UPDATE .859 

EMERGENCY RULES IN EFFECT .875 

EXECUTIVE ORDERS .878 

REGISTER INDEX .879 


Register 

Filing Deadlines 

Register 
Publication Date 

November 1. 2018 
November 15, 2018 

December 3, 2018 
December 17, 2018 

December 3, 2018 
December 17, 2018 

January 2, 2019 
January 15, 2019 

January 2, 2019 

January 15, 2019 

February 1, 2019 
February 15, 2019 

February 1, 2019 

February 15, 2019 

March 1, 2019 
March 15, 2019 

March 1, 2019 

March 15, 2019 

April 1, 2019 

April 15, 2019 

April 1, 2019 

April 15, 2019 

May 1, 2019 

May 15, 2019 

May 1, 2019 

May 15, 2019 

June 3, 2019 

June 17, 2019 


Code 

Publication Date 

Code 

Effective Date 

December 31, 2018 
December 31, 2018 

January 30, 2019 
January 30, 2019 

January 29, 2019 

January 29, 2019 

February 28, 2019 
February 28, 2019 

February 28, 2019 

February 28, 2019 

March 30, 2019 
March 30, 2019 

March 31, 2019 

March 31, 2019 

April 30, 2019 
April 30, 2019 

April 30, 2019 

April 30, 2019 

May 30, 2019 

May 30, 2019 

May 31, 2019 

May 31, 2019 

June 30, 2019 

June 30, 2019 

June 30, 2019 

June 30, 2019 

July 30, 2019 

July 30, 2019 


Documents will be accepted for filing on all regular workdays from 8:00 a.m. until 5:00 p.m. We encourage early filings to facilitate the timely publication of the 
Missouri Register. Orders of Rulemaking appearing in the Missouri Register will be published in the Code of State Regulations and become effective as listed in the 
chart above. Advance notice of large volume filings will facilitate their timely publication. We reserve the right to change the schedule due to special circumstances. 
Please check the latest publication to verily that no changes have been made in this schedule. To review the entire year’s schedule, please check out the website at 
www. sos. mo. gov/adrules/pubsched . 










































HOW TO CITE RULES AND RSMO 


RULES 

The rules are codified in the Code of State Regulations in this system- 


Title 


Division 

Chapter 

Rule 

3 

CSR 

10- 

4 

.115 

Department 

Code of 

Agency 

General area 

Specific area 


State 

Regulations 

Division 

regulated 

regulated 


and should be cited in this manner: 3 CSR 10-4.115. 

Each department of state government is assigned a title. Each agency or division in the department is assigned a division 
number. The agency then groups its rules into general subject matter areas called chapters and specific areas called rules. 
Within a rule, the first breakdown is called a section and is designated as (1). Subsection is (A) with further breakdown 
into paragraphs 1., subparagraphs A., parts (I), subparts (a), items I. and subitems a. 

The rule is properly cited by using the full citation, for example, 3 CSR 10-4.115 NOT Rule 10-4.115. 

Citations of RSMo are to the Missouri Revised Statutes as of the date indicated. 


Code and Register on the Internet 

The Code of State Regulations and Missouri Register are available on the Internet. 

The Code address is www.sos.mo.gov/adrules/csr/csr 

The Register address is www.sos.mo.gov/adrules/moreg/moreg 


These websites contain rulemakings and regulations as they appear in the Code and Registers. 



March 1, 2019 

Emergency 

Rules 

Missouri 

Vol. 44, No. 5 



Register 


R ules appearing under this heading are filed under the 
authority granted by section 536.025, RSMo 2016. An 
emergency rule may be adopted by an agency if the agency 
finds that an immediate danger to the public health, safety, or 
welfare, or a compelling governmental interest requires 
emergency action; follows procedures best calculated to 
assure fairness to all interested persons and parties under 
the circumstances; follows procedures which comply with the 
protections extended by the Missouri and the United States 
Constitutions', limits the scope of such rule to the circum¬ 
stances creating an emergency and requiring emergency 
procedure, and at the time of or prior to the adoption of such 
rule files with the secretary of state the text of the rule togeth¬ 
er with the specific facts, reasons, and findings which support 
its conclusion that there is an immediate danger to the public 
health, safety, or welfare which can be met only through the 
adoption of such rule and its reasons for concluding that the 
procedure employed is fair to all interested persons and par¬ 
ties under the circumstances. 

R ules filed as emergency rules may be effective not less 
than ten (10) days after filing or at such later date as 
may be specified in the rule and may be terminated at any 
time by the state agency by filing an order with the secretary 
of state fixing the date of such termination, which order shall 
be published by the secretary of state in the Missouri 
Register as soon as practicable. 

II emergency rules must state the period during which 
^^they are in effect, and in no case can they be in effect 
more than one hundred eighty (180) calendar days or thirty 
(30) legislative days, whichever period is longer. Emergency 
rules are not renewable, although an agency may at any time 
adopt an identical rule under the normal rulemaking proce¬ 
dures. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 65—Missouri Medicaid Audit and Compliance 
Chapter 3—Participant and Provider Procedure 


EMERGENCY RULE 


13 CSR 65-3.010 Participant Lock-In Program 

PURPOSE: This rule establishes a process to safeguard against 
unnecessary or inappropriate utilization of care and sendees by MO 
HealthNet participants by identifying excessive use patterns in order 
to rectify overutilization practices of participants. 


duties more than MO HealthNet, DSS decided to move the regulation 
to 13 CSR Chapter 65 - the chapter of regulations dedicated to 
MMAC - in conjunction with making a few amendments to the rule. 
Due to unforeseeable delays in the rulemaking process, howe\>er, the 
lock-in regulation of Chapter 65 will not be effective until February 
28, 2019, leaving the state without the program for approximately 
one month. On average, MMAC reviews medical and pharmacy 
records of 210 MO HealthNet participants in a month with about 25 % 
of these reviews leading to the locking in of the participant and a sav¬ 
ings to the MO HealthNet program of an average of $458,000 each 
month. MMAC needs this emergency regulation to combat instances 
of MO HealthNet participants misusing or abusing their physician or 
pharmacy benefits and thereby protecting the public health, safety, 
and/or welfare of MO HealthNet participants. MMAC also needs this 
emergency regulation to protect government interest of not paying for 
unnecessary MO HealthNet benefits. The scope of this emergency 
regulation is limited to circumstances creating the emergency and 
complies with the protections extended in the Missouri and United 
States Constitutions. MMAC believes this emergency regulation is fair 
to all interested persons and parties under the circumstances. The 
proposed rule was published in the Missouri Register on September 
4, 2018 (43 MoReg 2555-2556) and the order of rulemaking was pub¬ 
lished on January 15, 2019 (44 MoReg 440-441). This emergency 
rule, filed on January 18, 2019, becomes effective January 30, 2019, 
and expires February 28, 2019. 

(1) Definitions applicable to the administration of this program are as 
follows: 

(A) “Lock-In” means limiting or restricting a participant’s ability 
to access services to a single physician and/or a single pharmacy to 
reduce excessive MO HealthNet benefits usage; 

(B) “Medically necessary” means health care services or supplies 
that are needed to diagnose or treat an illness, injury, condition, dis¬ 
ease, or its symptoms and that meet accepted standards of medicine; 

(C) “Misutilization” or “misuse” means overusing, underusing, or 
using MO HealthNet services in a way that is harmful, wasteful, and 
uncoordinated or using services provided under the MO HealthNet 
program in an improper or incorrect manner, whether that use is 
intentional or unintentional; 

(D) “Overlap” means at least one (1) day of overlapping dispens¬ 
ing of prescriptions written by two (2) or more different prescribers; 
and 

(E) “Therapeutic class” means a class of medications that are used 
to treat similar medical conditions. 

(F) “MMAC approved pharmacy” means a licensed pharmacy that 
is currently enrolled with MO HealthNet and is not currently sanc¬ 
tioned or under investigation by any federal or state authority; and 

(G) “MMAC approved physician” means a licensed physician that 
is currently enrolled with MO HealthNet and is not currently sanc¬ 
tioned or under investigation by any federal or state authority. 


EMERGENCY STATEMENT: The Department of Social Sendees, 
Missouri Medicaid Audit & Compliance Unit (MMAC), determines 
that this emergency rule is necessary to protect public health, safety, 
and/or welfare and to present a compelling governmental interest. 
MMAC has long been responsible for re\’iewing MO HealthNet par¬ 
ticipants who may be subjecting the MO HealthNet program to fraud, 
waste, and abuse through mis-utilization or over-utilization of their 
MO HealthNet benefits. A participant usually engages in such con¬ 
duct in order to obtain opiates or other pain-killing drugs. If MMAC 
determines that a MO HealthNet participant is mis- or over-utilizing 
MO HealthNet benefits, MMAC can lock-in the participant to a par¬ 
ticular pltysician, to a specific pharmacy, or both. A version of the 
lock-in regulation currently exists under a MO HealthNet regulations 
in 13 CSR Chapter 70, but that regulation is scheduled to be rescind¬ 
ed on January 30, 2019. Because the regulation affected MMAC’s 


(2) Unless a participant shows that the service or product provided to 
the participant was otherwise medically necessary, the Missouri 
Medicaid Audit and Compliance Unit (MMAC) may place the partic¬ 
ipant in the Lock-In Program if the participant’s utilization of bene¬ 
fits exceeds one (1) or more of the following parameters during a 
three- (3-) month period: 

(A) Use of three (3) or more drugs in the same therapeutic class 
such that the prescriptions of such drugs overlap; 

(B) Use of three (3) or more pharmacies; 

(C) Use of sixteen (16) or more prescriptions for therapeutic class¬ 
es such as, but not limited to, analgesics, anticonvulsants, skeletal 
muscle relaxants, anxiolytics, or other potential drugs of misuse; 

(D) Use of three (3) or more providers that specialize in a same or 
similar service or product; 

(E) Use of three (3) or more different emergency departments; or 


761 





Page 762 


Emergency Rules 


March 1, 2019 
Vol. 44, No. 5 


(F) Use by referral, review, or other analysis that indicates possi¬ 
ble overutilization or that identifies a patient safety issue. 

(3) Placement in the Lock-In Program. 

(A) The decision to place a participant in the Lock-In Program is 
at MMAC’s discretion. MMAC is to consider the following factors 
when deciding whether to place the participant in the Lock-In 
Program: 

1. Seriousness of the findings - MMAC will consider the seri¬ 
ousness of the findings including, but not limited to, overlaps of the 
same therapeutic class of prescription medications, the use of multi¬ 
ple pharmacies, the prescription of the same therapeutic class of pre¬ 
scription medications by multiple, like, or different prescribers, 
emergency department visits for non-emergent services, the use of 
multiple emergency departments in different locations, and the use of 
multiple primary care clinics; 

2. Extent of Inappropriate Utilization of Services - MMAC will 
consider the extent as measured by, but not limited to, the number of 
overlapping prescriptions within the same therapeutic class pre¬ 
scribed by different prescribers and the number of emergency depart¬ 
ment visits and locations for diagnoses that are non-emergent such as 
back pain, lumbago, pain in limb, or toothache; 

3. Prior History of Action Taken by the Lock-In Section - 
MMAC will consider whether or not the participant has been given 
prior education by the Lock-In Section which includes any education 
letters, warning letters, or previous placement in the Lock-In 
Program. 

(4) A participant shall be placed in the Lock-In Program if the par¬ 
ticipant’s utilization of benefits was misused by any of the following 
methods: 

(A) Lending or giving the participant’s Medicaid ID card to inel¬ 
igible individuals who are not eligible for Medicaid; 

(B) Submitting, or causing to be submitted, forged documents to 
providers for medical benefits or services; 

(C) Refusing to submit to, or failing to have predicted, urine or 
blood levels following testing for medications prescribed to the par¬ 
ticipant and covered by the MO HealthNet program while engaged in 
a pain management or substance use disorder treatment program; or 

(D) Paying cash for prescribed medications covered by the MO 
HealthNet program. 

(5) Once MMAC identifies a participant that falls under subsection 
(2) or (3) of this rule and notifies the participant of its decision to 
place the participant in the Lock-In Program, the participant is to 
provide MMAC with the following: 

(A) Notification within twenty (20) days of the participant’s selec¬ 
tion of a single physician and a single pharmacy that must be 
approved by MMAC. In the event the participant fails to select an 
MMAC approved physician and pharmacy, MMAC will select a sin¬ 
gle physician and a single pharmacy on behalf of the participant; 

(B) Notification if the participant requires more than one (1) physi¬ 
cian or pharmacy for the purposes of specialized medical treatment. 
MMAC may permit a participant to select more than one (1) physi¬ 
cian or pharmacy upon showing of such need; and 

(C) Notification of any request to change a selected physician 
and/or pharmacy. A participant may not request to change selection 
of physician and/or pharmacy more than once within a three (3) con¬ 
secutive month period unless additional provider changes within that 
three (3) consecutive month period are approved upon verification of 
just cause. A participant may only change a selected physician and/or 
pharmacy if any of the following occur: 

1. The physician or pharmacy moves, retires, dies, discontinues 
MO HealthNet participation, or refuses to provide care to the partic¬ 
ipant; or 

2. The participant moves from the physician's service area. 


select a single physician and single pharmacy if the single physician 
and/or single pharmacy decline to serve as the participant’s single 
physician or pharmacy. 

(7) A participant who is subject to the Lock-In Program may only 
receive services from a provider who is not the designated physician 
and/or a pharmacy that is not the designated pharmacy in the follow¬ 
ing circumstances: 

(A) Documented medical emergencies; 

(B) Upon referral by the participant's designated Lock-In 
provider; or 

(C) As otherwise authorized by MMAC. 

(8) A participant who is placed in the Lock-In Program will be sub¬ 
ject to Lock-In for a minimum of twenty-four (24) months. If after 
twenty-four (24) months, MMAC determines that the participant is 
continuing to misuse the MO HealthNet program as set forth in this 
rule, MMAC may impose an additional Lock-In period for up to 
twenty-four (24) additional months. 

(9) Any participant who is aggrieved by a decision made under this 
regulation may seek administrative review under section 208.080, 
RSMo. 

AUTHORITY: sections 208.201 and 660.017, RSMo 2016. Emergency 
rule filed Jan. 18, 2019, effective Jan. 30, 2019, expires Feb. 28, 
2019. A proposed rule covering this same material was published in 
the September 4, 2018, Missouri Register. (43 MoReg 2555-2556) 
and the order of rulemaking in the January 15, 2019, Missouri 
Register (44 MoReg 440-441). 


(6) A participant who is subject to the Lock-In Program may not 




March 1, 2019 
Vol. 44, No. 5 


Missouri 

Register 


T he Secretary of State shall publish all executive orders beginning January 1, 2003, pursuant to section 536.035.2, RSMo 
2016. 


EXECUTIVE ORDER 
19-01 


WHEREAS, the Missouri Department of Economic Development is created pursuant to Article IV, 
Section 12 of the Missouri Constitution and Chapter 620, RSMo, and is charged with promoting the 
economy of the State, the economic development of the State, trade and business, and other activities and 
programs impacting the economy of the State; and 

WHEREAS, the Missouri Department of Natural Resources is created pursuant to Article IV, 
Section 12 of the Missouri Constitution and Chapter 640, RSMo, and is charged with administering the 
programs of the State relating to environmental control and the conservation and management of natural 
resources of the State; and 

WHEREAS, the Division of Energy, located within the Department of Economic Development, is 
charged with coordinating actions relating to energy' sustainability in the State, renewable energy use, and 
energy' conservation pursuant to Section 640.157, RSMo; and 

WHEREAS, energy sustainability, renewable energy use, and energy conservation are integrally 
related to the health of natural resources across the State; and 

WHEREAS, the transfer of the Division of Energy from the Department of Economic Development 
to the Department of Natural Resources will benefit the State of Missouri by enhancing the Department of 
Natural Resources’ ability to balance a healthy environment with a healthy economy; and 

WHEREAS, top-performing state economic development agencies focus primarily on business 
development and community development, as well as close coordination with workforce development; and 

WHEREAS, the transfer of the Division of Energy from the Department of Economic Development 
to the Department of Natural Resources will benefit the State of Missouri by enabling the Department of 
Economic Development to align itself more fully around the core economic development activities of 
business development and community development, closely coordinated with workforce development. 

NOW THEREFORE, 1, MICHAEL L. PARSON, GOVERNOR OF THE STATE OF MISSOURI, by 
virtue of the authority vested in me by the Constitution and laws of the State of Missouri, do hereby order 
the Department of Economic Development and the Department of Natural Resources to cooperate to: 

1. Transfer all authority, powers, duties, functions, records, personnel, property, contracts, budgets, 
matters pending, and other pertinent vestiges of the Division of Energy from the Department of 
Economic Development to the Department of Natural Resources by Type 1 transfer, as defined 
under the Reorganization Act of 1974; 

2. Develop the mechanisms and processes necessary to effectively transfer the Division of Energy to 
the Department of Natural Resources; and 

3. Take the steps necessary to maintain compliance with federal requirements so as not to jeopardize 
federal financial participation with this transfer. 


763 





Page 764 


Executive Orders 


March 1, 2019 
Vol. 44, No. 5 


This order shall become effective no sooner than August 28,2019, unless disapproved within sixty days of 
its submission to the First Regular Session of the 100th General Assembly. 



IN WITNESS WHEREOF, 1 have hereunto set my hand 
and caused to be affixed the Great Seal of the State of 
Missouri, in the City of Jefferson, on this 17 th day of 
January 2019. 



ATTEST: 




March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 765 


EXECUTIVE ORDER 
19-02 

WHEREAS, the Missouri Department of Economic Development is created pursuant to 
Article IV, Section 12 of the Missouri Constitution and Chapter 620. RSMo, and is charged with 
promoting the economy of the State, the economic development of the State, trade and business, 
and other activities and programs impacting the economy of the State; and 

WHEREAS, the Missouri Department of Insurance is created pursuant to Article IV, 
Section 12 of the Missouri Constitution, which was redesignated as the Department of Insurance, 
Financial Institutions and Professional Registration pursuant to Executive Order 06-04, and is 
charged with regulation of insurance companies, financial institutions, and professional 
registration of many industries and occupations, including consumer affairs; and 

WHEREAS, the Office of Public Counsel, located within the Department of Economic 
Development, is charged with representing and protecting the interests of the public in any 
proceeding before or appeal from the Missouri Public Service Commission pursuant to Section 
386.710, RSMo; and 

WHEREAS, the Public Service Commission, located within the Department of Economic 
Development, is created pursuant to Chapter 386, RSMo, and is charged with reguiating investor- 
owned electric, natural gas, steam, water, and sewer utilities; and 

WHEREAS, the Department of Insurance, Financial Institutions and Professional 
Registration has extensive expertise in the regulation of complex industries and is well positioned 
to enhance State functions relating to utility regulation; and 

WHEREAS, the transfer of the Office of Public Counsel and the Public Service 
Commission from the Department of Economic Development to the Department of insurance, 
Financial Institutions and Professional Registration will benefit the State of Missouri by 
consolidating regulatory functions and programs to increase efficiencies and provide a more 
cohesive and coordinated approach to the regulation of complex industries, including protecting 
the interests of the public in regard to such industries; and 

WHEREAS, top-performing state economic development agencies focus primarily on 
business development and community development, as well as close coordination with workforce 
development. 


NOW THEREFORE, 1, MICHAEL L. PARSON, GOVERNOR OF THE STATE OF MISSOURI, 
by virtue of the authority vested in me by the Constitution and laws of the State of Missouri, do 
hereby order the Department of Economic Development and the Department of Insurance, 
Financial Institutions and Professional Registration to cooperate to: 



Page 766 


Executive Orders 


March 1, 2019 
Vol. 44, No. 5 


1. Transfer all authority, powers, duties, functions, records, personnel, property', contracts, 
budgets, matters pending, and other pertinent vestiges of the Office of Public Counsel and 
the Public Service Commission from the Department of Economic Development to the 
Department of Insurance, Financial Institutions and Professional Registration by Type III 
transfer, as defined under the Reorganization Act of 1974; 

2. Develop the mechanisms and processes necessary to effectively transfer the Office of 
Public Counsel and the Public Service Commission to the Department of Insurance, 
Financial Institutions and Professional Registration; and 

3. Take the steps necessary to maintain compliance with federal requirements so as not to 
jeopardize federal financial participation with this transfer. 

The Department of Insurance, Financial Institutions and Professional Registration shall henceforth 
be known as the Department of Commerce and Insurance. Executive Order 06-04’s designation 
of the Department of Insurance as the Department of Insurance, Financial Institutions and 
Professional Registration is hereby superseded and replaced by the designation as the Department 
of Commerce and Insurance set forth herein. 

This order shall become effective no sooner than August 28,2019, unless disapproved within sixty- 
days of its submission to the First Regular Session of the 100th General Assembly. 



ATTEST: 


IN WITNESS WHEREOF, I have hereunto set my 
hand and caused to be affixed the Great Seal of the 
State of Missouri, in the City of Jefferson, on this 17 th 
day of January, 2019. 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 767 


EXECUTIVE ORDER 
19-03 

WHEREAS, the Missouri Department of Economic Development is created pursuant to 
Article IV, Section 12 of the Missouri Constitution and Chapter 620, RSMo, and is charged with 
promoting the economy of the State, the economic development of the State, trade and business, 
and other activities and programs impacting the economy of the State; and 

W T HEREAS, the Missouri Department of Higher Education is created pursuant to Article 
IV, Section 12 of the Missouri Constitution and Chapter 173, RSMo, and is charged with 
coordinating higher education policy that fosters a quality post-secondary system, as well as 
increasing participation in Missouri's public institutions of higher education; and 

WHEREAS, the Division of Workforce Development, located within the Department of 
Economic Development, is currently the state agency designated to receive federal Workforce 
Innovation and Opportunity Act (WIOA) and Wagner-Peyser funds, conduct job training programs 
and labor exchanges, and administer other federal and State workforce development programs 
pursuant to Section 620.010, RSMo; and 

WHEREAS, the Division of Workforce Development and the Department of Higher 
Education have worked closely with each other in the past on issues relating to workforce 
development and higher education; and 

WHEREAS, combining the post-secondary talent development functions of the 
Department of Higher Education and the Division of Workforce Development will result in better 
consolidation and coordination of the State’s functions relating to workforce development and 
higher education and would benefit the citizens of the State by promoting efficient administration 
of post-secondary talent development functions; and 

WHEREAS, the Missouri Economic Research and Information Center (MERIC), located 
within the Department of Economic Development’s Division of Business and Community 
Services, compiles and analyzes labor market information that is essential to the effective and 
efficient administration of workforce development programs; and 

WHEREAS, combining MERIC with the Department of Higher Education and the 
Division of Workforce Development would provide targeted labor market information and 
analyses critical to advancing Missouri’s post-secondary talent development functions; and 

WHEREAS, the transfer of the Division of Workforce Development from the Department 
of Economic Development to the Department of Higher Education will benefit the State of 
Missouri by enabling the Department of Economic Development to align itself around the core 
economic development activities of business and community development, while maintaining 
close coordination and partnership with the Division of Workforce Development and the 
Department of Higher Education; and 



Page 768 


Executive Orders 


March 1, 2019 
Vol. 44, No. 5 


WHEREAS, the transfer of the Division of Workforce Development’s customized job 
training programs to the newly created One Start division within the Department of Economic 
Development will promote economic growth and job creation; and 

WHEREAS, the establishment of the Regional Engagement Division for business 
retention, expansion, and recruitment functions will enable the Department of Economic 
Development to better serve individuals and businesses in different regions of the State; and 

WHEREAS, the establishment of the Strategy and Performance Division will enable the 
Department of Economic Development to enhance its long-term planning and use of data to more 
effectively carry out its internal and external operations; and 

WHEREAS, the Division of Business and Community Services, located within the 
Department of Economic Development, provides finance and compliance functions and subject 
matter expertise crucial to helping Missouri’s businesses and communities grow; and 

WHEREAS, redesignating the Division of Business and Community Services as the 
Business and Community Solutions Division will more accurately reflect the Division’s solutions- 
oriented nature and its mission of solving businesses’ and communities’ challenges across the 
State. 


NOW THEREFORE, I, MICHAEL L. PARSON, GOVERNOR OF THE STATE OF MISSOURI, 
by virtue of the authority vested in me by the Constitution and laws of the State of Missouri, do 
hereby: 

1. Establish the Regional Engagement Division within the Department of Economic 
Development and transfer all of the authority, powers, duties, functions, records, personnel, 
property, contracts, budgets, matters pending, and other pertinent vestiges of the Division 
of Business and Community Services relating to sales, marketing, and initial customer 
engagement for business retention and expansion and business recruitment functions to the 
Regional Engagement Division by Type I transfer, as defined under the Reorganization 
Act of 1974; 

2. Establish the Strategy and Performance Division within the Department of Economic 
Development and transfer all of the authority, powers, duties, functions, records, personnel, 
property, contracts, budgets, matters pending, and other pertinent vestiges of the 
Department of Economic Development and the Division of Business and Community 
Services relating to economic analysis, communications and marketing, broadband 
development, departmental performance and improvement, legislative affairs, military 
asset support, and strategic initiatives to the Strategy and Performance Division by Type 1 
transfer, as defined under the Reorganization Act of 1974; 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 769 


3. Establish the One Start Division within the Department of Economic Development and 
transfer all of the authority, powers, duties, functions, records, personnel, property, 
contracts, budgets, matters pending, and other pertinent vestiges of the Division of 
Workforce Development relating to customized job training programs to the One Start 
Division by Type 1 transfer, as defined under the Reorganization Act of 1974; 

4. Redesignate the Division of Business and Community Services within the Department of 
Economic Development as the Business and Community Solutions Division in recognition 
of its solutions-oriented mission to support businesses and communities through economic 
development finance and compliance functions and subject matter expertise; 

5. Transfer all powers, duties and responsibilities of the Division of Business and Community 
Services not otherwise transferred pursuant to this Executive Order to the redesignated 
Business and Community Solutions Division; 

6. Transfer the Division of Workforce Development and all of its authority, powers, duties, 
functions, records, personnel, property, contracts, budgets, matters pending, and other 
pertinent vestiges, except as set forth herein, from the Department of Economic 
Development to the Department of Higher Education by Type 1 transfer, as defined under 
the Reorganization Act of 1974; 

7. Transfer the Missouri Economic Research and Information Center (MERIC) and all of its 
authority, powers, duties, functions, records, personnel, property, contracts, budgets, 
matters pending, and other pertinent vestiges, from the Department of Economic 
Development to the Department of Higher Education by Type I transfer, as defined under 
the Reorganization Act of 1974; 

8. Transfer all of the authority, powers, duties, functions, records, personnel, property, 
contracts, budgets, matters pending, and other pertinent vestiges of the Division of 
Workforce Development relating to employer service representatives to the Regional 
Engagement Division by Type I transfer, as defined under the Reorganization Act of 1974; 

9. Order the Department of Economic Development and the Department of Higher Education 
to develop the mechanisms and processes necessary to effectively complete the orders 
described herein; and 

10. Order the Department of Economic Development and the Department of Higher Education 
to take the steps necessary to maintain compliance with federal requirements so as not to 
jeopardize federal financial participation with the transfers completed herein. 



Page 770 


Executive Orders 


March 1, 2019 
Vol. 44, No. 5 


This order shall become effective no sooner than August 28,2019, unless disapproved within sixty 


days of its submission to the First Regular Session of the 100th General Assembly. 



IN WITNESS WHEREOF, I have hereunto set my 
hand and caused to be affixed the Great Seal of the 
State of Missouri, in the City of Jefferson, on this 
17th day of January, 2019. 



Michael L. Parson 
Governor 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 771 




WHEREAS, Article IV, Section 27, authorizes the Governor to control the rate at which any appropriation is 
expended by allotment and, further, authorizes the Governor to reduce the expenditures of the state or any of its agencies 
below their appropriations whenever the actual revenues are less than the revenue estimates upon which the 
appropriations were based; and 

WHEREAS, in addition to the power to control the rate of expenditure established in Article IV, Section 27, 
three percent of each appropriation, with the exception of amounts for personal service to pay salaries fixed by law, shall 
be set aside pursuant to section 33.290, RSMo, as a reserve fund and not subject to expenditure except with the approval 
of the Governor; and 

WHEREAS, Article IV, Section 27.2, provides that tire Governor notify the General Assembly “whenever the 
rate at which any appropriation shall be expended is not equal quarterly allotments, the sum of which shall be equal to 
the amount of the appropriation”; and 

WHEREAS, due to a variety of factors, including the three percent reserve that is legally required by section 
33.290, RSMo, the rate at which most appropriations are expended is not in “equal quarterly allotments, the sum of which 
shall be equal to the amount of the appropriation”; and 

WHEREAS, Article IV, Section 27,3, provides that the Governor notify the General Assembly “when the 
governor reduces one or more items or portions of items of appropriation of money as a result of actual revenues being 
less than the revenue estimates upon which the appropriations were based.” 

NOW THEREFORE, I, Michael L. Parson, GOVERNOR OF THE STATE OF MISSOURI, pursuant to Article 
IV, Section 27, do hereby make the following notification to the One Hundredth General Assembly of the State of 
Missouri: 

1 hereby notify the General Assembly, pursuant to Article IV, Section 27.2 of the Missouri Constitution, that 
through the second quarter of fiscal year 2019, the rate of expenditure for each of the appropriation lines in the 
fiscal year 2019 budget attached as Exhibit A is not in equal quarterly allotments, the sum of which shall be 
equal to the amount of the appropriation. 

1 further notify the General Assembly, pursuant to Article IV, Section 27.3 of the Missouri Constitution, that I 
have taken no action to permanently reduce one or more items or portions of items of appropriation of money as 
a result of actual revenues being less than the revenue estimates upon which the appropriations were based in 
the fiscal year 2019 budget. 



Page 772 


Executive Orders 


March 1, 2019 
Vol. 44, No. 5 


IN TESTIMONY WHEREOF, 1 have hereunto set my hand and caused to be affixed the Great Seal of the State 
of Missouri, in the City of Jefferson, this 28 th day of January 2019. 








GOVERNOR 


Attest: 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 773 


Exhibit A 


ft 

Agency 

Budget 

Appropriation 

Line 

1 

ELEM & SEC EDUCATION-OPER 

02.015 

2 

AGRICULTURE-OPERATING 

06.085 

3 

CORRECTIONS-OPERATING 

09.200 

4 

MENTAL HEALTH-OPERATING 

10.110 

5 

MENTAL HEALTH-OPERATING 

10.210 

6 

MENTAL HEALTH-OPERATING 

10.225 

7 

SOCIAL SERVICES-OPERATING 

11.465 

8 

SOCIAL SERVICES-OPERATING 

11.490 

9 

SOCIAL SERVICES-OPERATING 

11.505 

10 

SECRETARY OF STATE-OPER 

12.080 

11 

SECRETARY OF STATE-OPER 

12.085 









Missouri 

Register 


March 1, 2019 
Vol. 44, No. 5 


U nder this heading will appear the text of proposed rules 
and changes. The notice of proposed rulemaking is 
required to contain an explanation of any new rule or any 
change in an existing rule and the reasons therefor. This is set 
out in the Purpose section with each rule. Also required is a 
citation to the legal authority to make rules. This appears fol¬ 
lowing the text of the rule, after the word “Authority.” 

E ntirely new rules are printed without any special symbol¬ 
ogy under the heading of proposed rule. If an existing 
rule is to be amended or rescinded, it will have a heading of 
proposed amendment or proposed rescission. Rules which 
are proposed to be amended will have new matter printed in 
boldface type and matter to be deleted placed in brackets. 

A n important function of the Missouri Register is to solicit 
and encourage public participation in the rulemaking 
process. The law provides that for every proposed rule, 
amendment, or rescission there must be a notice that anyone 
may comment on the proposed action. This comment may 
take different forms. 

I f an agency is required by statute to hold a public hearing 
before making any new rules, then a Notice of Public 
Hearing will appear following the text of the rule. Hearing 
dates must be at least thirty (30) days after publication of the 
notice in the Missouri Register. If no hearing is planned or 
required, the agency must give a Notice to Submit 
Comments. This allows anyone to file statements in support 
of or in opposition to the proposed action with the agency 
within a specified time, no less than thirty (30) days after pub¬ 
lication of the notice in the Missouri Register. 

A n agency may hold a public hearing on a rule even 
though not required by law to hold one. If an agency 
allows comments to be received following the hearing date, 
the close of comments date will be used as the beginning day 
in the ninety- (90-) day-count necessary for the filing of the 
order of rulemaking. 

I f an agency decides to hold a public hearing after planning 
not to, it must withdraw the earlier notice and file a new 
notice of proposed rulemaking and schedule a hearing for a 
date not less than thirty (30) days from the date of publication 
of the new notice. 


PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti- 
tities more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the 
Department of Elementary and Secondary Education, ATTN: Dr. 
Paul Katnik, Assistant Commissioner, Office of Educator Quality, PO 
Box 480, Jefferson City, MO 65102-0480 or by email to educatorqual- 
ity@dese.mo.gov. To be considered, comments must be received with¬ 
in thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 


Title 5—DEPARTMENT OF ELEMENTARY AND 
SECONDARY EDUCATION 
Division 20—Division of Learning Services 
Chapter 400—Office of Educator Quality 

PROPOSED RESCISSION 

5 CSR 20-400.280 Required Assessments for Professional 
Education Certification in Missouri. This rule outlined required 
assessments for certificates of license to teach. 

PURPOSE: This rule is being rescinded due to current requirements 
being contained within 5 CSR 20-400.510—20-400.680. 

AUTHORITY: sections 161.092, 168.021, 168.071, 168.081, and 
168.400, RSMo Supp. 2012 and sections 168.011, 168.405, and 
168.409, RSMo 2000. This rule previously filed as 5 CSR 80- 
800.380. Original rule filed April 26, 2000, effective Nov. 30, 2000. 
For intervening history, please consult the Code of State 
Regulations. Rescinded: Filed Jan. 17, 2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 


Proposed Amendment Text Reminder: 

Boldface text indicates new matter. 

[Bracketed text indicates matter being deleted.] 


PRIVATE COST: This proposed rescission will not cost private enti- 
tities more than five hundred dollars ($500) in the aggregate. 


Title 5—DEPARTMENT OF ELEMENTARY AND 
SECONDARY EDUCATION 
Division 20—Division of Learning Services 
Chapter 400—Office of Educator Quality 

PROPOSED RESCISSION 

5 CSR 20-400.250 Certificate of License to Teach Content Areas. 

This rule provided areas of certificates of license to teach. 

PURPOSE: This rule is being rescinded due to current requirements 
being contained within 5 CSR 20-400.510 - 20-400.680. 


NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the 
Department of Elementary and Secondary Education, ATTN: Dr. 
Paul Katnik, Assistant Commissioner, Office of Educator Quality, PO 
Box 480, Jefferson City, MO 65102-0480 or by email to educatorqual- 
ity@dese.mo.gov. To be considered, comments must be received with¬ 
in thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2-Student Financial Assistance Programs 


AUTHORITY: sections 161.092, 168.021, 168.071, 168.081, and 
168.400, RSMo Supp. 2011, and section 168.011, RSMo 2000. This 
rule previously filed as 5 CSR 80-800.350. Original rule filed April 
26, 2000, effective Nov. 30, 2000. Rescinded: Filed Jan. 17, 2019. 


PROPOSED AMENDMENT 

6 CSR 10-2.080 Higher Education Academic Scholarship Program. 

The commissioner is amending subsection (1)(D). 


774 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 775 


PURPOSE: This amendment updates the definition of approved insti¬ 
tution to reflect statutory revisions. 

(1) Definitions. 

(D) Approved institution means any institution located in the state 
of Missouri that meets the requirements set forth in [section] sub¬ 
division 173.1102.1(2) or (3), RSMo, and that has been approved 
under 6 CSR 10-2.140. 

AUTHORITY: section 173.250, RSMo [Supp. 2013] 2016. Original 
rule filed Nov. 14, 1986, effective Feb. 28, 1987. For intervening his¬ 
tory, please consult the Code of State Regulations. Amended: Filed 
Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication 
of this notice in the Missouri Register. No public hearing is sched¬ 
uled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2-Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.100 Public Safety Officer or Employee’s Child 
Survivor Grant Program. The commissioner is amending subsec¬ 
tions (1)(H), (1)(I), and (1)(L), and section (2). 

PURPOSE: These amendments update the definitions of institution of 
postsecondary education or approved institution, line of duty, and 
public safety officer to reflect statutory revisions. Tlte amendments 
also correct the name of the program referenced in section (2). 

(1) Definitions. 

(H) Institution of postsecondary education or approved institution 
shall be any private or public institution located in Missouri that 
meets the requirements set forth in [section] subdivision 
173.1102.1(2) or (3), RSMo. 

(I) Line of duty shall mean any action of an employee directly con¬ 
nected to their employment with the Department of Transportation, 
or of a public safety officer/, whose primary function is crime 
control or reduction, enforcement of the criminal law, or sup¬ 
pression of fires, and] who is authorized or obligated by law, rule, 
regulation, or condition of employment or service to perform such 
function. 

(L) Public safety officer shall be any firefighter, uniformed 
employee of the office of the state fire marshal, police officer, 
capitol police officer, parole officer, probation officer, state correc¬ 
tional employee, water safety officer, park ranger, conservation offi¬ 
cer, or highway patrolman employed by the state of Missouri or a 
political subdivision thereof, including an individual serving in any 
such capacity as a certified volunteer, who is killed or permanently 
and totally disabled in the line of duty, or any emergency medical 
technician, air ambulance pilot, air ambulance registered profes¬ 
sional nurse, air ambulance registered respiratory therapist, or 
flight crew member, as these terms are defined in subsection 


173.260.1, RSMo, who is killed or permanently and totally dis¬ 
abled in the line of duty. 

(2) Responsibilities of Institutions of Postsecondary Education. 
Institutions participating in the Public Safety Officer or Employee’s 
Child Survivor Grant program must meet the requirements set forth 
in 6 CSR 10-2.140, Institutional Eligibility for Student Participation. 

AUTHORITY: section 173.260, RSMo [2000] Supp. 2018. Original 
rule filed April 29, 1988, effective July 28, 1988. Amended: Filed 
May 27, 1999, effective Jan. 30, 2000. Amended: Filed Feb. 20, 
2009, effective Aug. 30, 2009. Amended: Filed June 15, 2016, effec¬ 
tive Nov. 30, 2016. Amended: Filed Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication 
of this notice in the Missouri Register. No public hearing is sched¬ 
uled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.120 Competitiveness Scholarship Program. The com¬ 
missioner is amending subsection (1)(C). 

PURPOSE: This amendment updates the definition of approved insti¬ 
tution to reflect statutory revisions. 

(1) Definitions. 

(C) Approved institution means any institution located in Missouri 
that meets the requirements set forth in [section] subdivision 
173.1102.1(2) or (3), RSMo, and that has been approved under 6 
CSR 10-2.140. 

AUTHORITY: section 173.262, RSMo [2000] 2016. Original rule 
filed May 24, 1990, effective Nov. 30, 1990. For intervening history, 
please consult the Code of State Regulations. Amended: Filed Jan. 
29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelIi.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication 
of this notice in the Missouri Register. No public hearing is sched¬ 
uled. 



Page 776 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.140 Institutional Eligibility for Student Participation. 

The commissioner is amending section (1), subsections (3)(B) and 
(3)(C), and subsection (6)(C). 

PURPOSE: These amendments update the definition of approved 
institution, approved private institution, and approved public institu¬ 
tion, and add the definition of approved virtual institution to reflect 
statutory revisions. The amendments also update institutional eligi¬ 
bility provisions and statutory references to reflect statutory revisions. 

(1) Definitions. 

(A) Approved institution means any institution located in the state 
of Missouri that meets the requirements set forth in [section] sub¬ 
divisions 173.1102.1(2) [or], (3), or (4), RSMo; that has been 
approved under 6 CSR 10-2.140; and that has been approved to par¬ 
ticipate in the federal student financial assistance programs created 
in Title IV of the Higher Education Act of 1965, as amended. 

(B) Approved private institution means an educational institution 
as defined in [section] subdivision 173.1102.1(2), RSMo. 

(C) Approved public institution means an educational institution as 
defined in [section] subdivision 173.1102.1(3), RSMo. 

(D) Approved virtual institution means an educational institu¬ 
tion as defined in subdivision 173.1102.1(4), RSMo. 

[(D) 7(E) CBHE means the Coordinating Board for Higher 
Education created by section 173.005, RSMo. 

[(E)]( F) Department means the Department of Higher Education 
created by section 173.005, RSMo. 

[(F)]( G) Expenses shall mean any charges the student owes to the 
institution that can be paid with state student assistance program 
funds as defined by each state student assistance program. 

[(G)]( H) Standard admission policies shall mean policies approved 
and published by the approved institution to admit students to the 
institution. 

[(H)](l) State student assistance program shall be any financial aid 
program created by Missouri statute that charges the CBHE with pro¬ 
gram administration and that establishes institutional eligibility 
through criteria consistent with section 173.1102, RSMo, as deter¬ 
mined by the CBHE. 

(3) Institutional Eligibility. 

(B) Public [and], private, and virtual institutions are eligible to 
participate in state student assistance programs only if they permit 
faculty members to select textbooks without influence or pressure 
from any source in order to be approved institutions. This require¬ 
ment is in addition to requirements set forth in [sections] subdivi¬ 
sions 173.1102.1(2) [and], (3), and (4), RSMo, and elsewhere in 
this rule. Selection of textbooks within individual departments or 
schools by faculty curriculum committees shall not be considered 
inconsistent with this requirement. 

(C) To be an approved private institution, an institution must be a 
nonprofit educational institution operating privately under the control 
of an independent board and not directly controlled or administered 
by any public agency or political subdivision. This requirement is in 
addition to requirements set forth in [section] subdivision 
173.1102.1(2), RSMo, and elsewhere in this rule. For the purposes 
of this rule, an independent board is one that meets the following 
minimum criteria: 

1. The governing instrument of the institution gives the govern¬ 
ing board final decision making authority for the institution; 

2. The governing board is composed of a number of members 
as fixed or provided for in the governing instrument of the institution, 
who serve for terms of definite duration; 


3. Each member of the governing board is free to exercise judg¬ 
ment independently in the interest of the institution without being 
controlled by any person or authority; and 

4. The members of the governing board may not be removed by 
any authority during their respective terms, except for cause. For 
purposes of this criterion, “cause” shall not include any reason based 
upon religious affiliation, including failure to follow the directives of 
any purported superior authority, religious or otherwise. 

(6) Procedures. 

(C) During a period in which an institution is certified as an 
approved institution, if a substantial change occurs in the institution’s 
governing structure; in the institution’s hiring policies pertaining to 
administration, faculty, and staff; in the institution’s admissions poli¬ 
cies; in the institution’s textbook selection procedures; in the level of 
programs or degrees offered by the institution; in the institution’s 
qualification for accreditation by the Higher Learning Commission 
or other United States Department of Education-recognized accred¬ 
iting agency; in the institution’s record of compliance with lawfully 
promulgated CBHE policies and procedures; or in any other matter 
affecting the criteria set forth in [sections] subdivisions 
173.1102.1(2) [or], (3), or (4), RSMo, the CBHE may consider 
whether to terminate the institution’s approved status because of such 
change. Institutions shall notify the CBHE in writing within thirty 
(30) days after any such change occurs. Before the CBHE makes a 
decision regarding the status of an approved institution, the CBHE 
may, at its own discretion, hold one (1) or more public hearing(s) 
under the procedures set forth in subsection (6)(G) of this rule. 

AUTHORITY: sections 173.236, 173.254, [173.260, and] 
173.250, 173.262, and 173.1103, RSMo [2000] 2016, and sections 
173.2341, 173.250,] and [173.1103] 173.260, RSMo Supp. 
[2013] 2018. Emergency ride filed Aug. 28, 2007, effective Sept. 7, 
2007, expired March 4, 2008. Original rule filed Oct. 12, 2007, 
effective March 30, 2008. Amended: Filed Dec. 15, 2008, effective 
June 30, 2009. Amended: Filed June 15, 2016, effective Nov. 30, 
2016. Amended: Filed Jan. 29, 2019. 

PUBF1C COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication of 
this notice in the Missouri Register. No public hearing is scheduled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.150 Access Missouri Financial Assistance Program. 

The commissioner is amending subsection (1)(E), section (3), and 
subsection (5)(H). 

PURPOSE: These amendments update the definition of approved 
institution, and revise the basic eligibility and award policies to 
reflect statutory re\’isions. 

(1) Definitions. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 777 


(E) Approved institution means any institution located in the state 
of Missouri that meets the requirements set forth in [sections] sub¬ 
divisions 173.1102.1(2) [or], (3), or (4), RSMo, that has been 
approved under 6 CSR 10-2.140, and that has been approved to par¬ 
ticipate in the federal student financial assistance programs created 
in Title IV of the Higher Education Act of 1965, as amended. 

(3) Basic Eligibility Policy. [To qualify for an Access Missouri 
award, an initial or a renewal recipient, at the time of his 
application and throughout the period during which the 
recipient receives the award, must meet the requirements set 
forth in section 1 73.1104, RSMo.] 

(A) To qualify for an Access Missouri award, an initial or 
renewal recipient, at the time of application and throughout the 
period during which the recipient receives the award, must meet 
the requirements set forth in section 173.1104, RSMo. 

(B) Initial or renewal recipients attending an approved virtual 
institution that fails to meet all of the requirements in subdivision 
173.1102.1(4), RSMo are not eligible for assistance under sec¬ 
tions 173.1104 and 173.1105, RSMo. 

(5) Award Policy. 

(H) No Access Missouri awards will be granted to a student 
after— 

1. A baccalaureate degree has been granted to the student; 

2. The [required] hours, or the equivalent to the hours, 
required for a baccalaureate degree have been completed by a stu¬ 
dent; or 

3. The student has completed one hundred fifty (150) semester 
hours or the equivalent, or two hundred twenty-five (225) quarter 
hours or the equivalent of coursework. 

AUTHORITY: section 173.1103, RSMo [Supp. 2013] 2016. 
Emergency rule filed Aug. 28, 2007, effective Sept. 7, 2007, expired 
March 4, 2008. Original rule filed Oct, 12, 2007, effective March 
30, 2008. For intervening history, please consult the Code of State 
Regulations. Amended: Filed Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication of 
this notice in the Missouri Register. No public hearing is scheduled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.160 War Veteran’s Survivors Grant Program. The 

commissioner is amending subsection (1)(K). 

PURPOSE: This amendment updates the definition of institution of 
postsecondary education or approved institution to reflect statutory 
revisions. 

(1) Definitions. 

(K) Institution of postsecondary education or approved institution 
shall be any Missouri public institution of postsecondary education 


as defined in [section] subdivision 173.1102.1(3), RSMo. 

AUTHORITY: section 173.234, RSMo Supp. [2013] 2018. Original 
rule filed Dec. 15, 2008, effective June 30, 2009. Amended: Filed 
June 15, 2016, effective Nov. 30, 2016. Amended: Filed Jan. 29, 
2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication 
of this notice in the Missouri Register. No public hearing is sched¬ 
uled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.170 Kids’ Chance Scholarship Program. The com¬ 
missioner is amending subsection (1)(J). 

PURPOSE: This amendment updates the definition of institution of 
postsecondary education or approved institution to reflect statutory 
revisions. 

(1) Definitions. 

(J) Institution of postsecondary education or approved institution 
means any institution located in the state of Missouri that meets the 
requirements set forth in [sections] subdivisions 173.1102.1(2) or 
(3), RSMo, and that has been approved under 6 CSR 10-2.140. 

AUTHORITY: section 173.254, RSMo [2000] 2016. Original rule 
filed Dec. 15, 2008, effective June 30, 2009. Amended: Filed June 
15, 2016, effective Nov. 30, 2016. Amended: Filed Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication of 
this notice in the Missouri Register. No public hearing is scheduled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 
Division 10—Commissioner of Higher Education 
Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.180 Minority and Underrepresented Environmental 
Literacy Program. The commissioner is amending subsection 



Page 778 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


(D(D). 

PURPOSE: This amendment updates the definition of approved insti¬ 
tution to reflect statutory revisions. 

(1) Definitions. 

(D) Approved institution means any institution located in the state 
of Missouri that meets the requirements set forth in [section] sub¬ 
divisions 173.1102.1(2) or (3), RSMo, that has been approved under 
6 CSR 10-2.140. 

AUTHORITY: section 173.240, RSMo [Supp. 2013] 2016. Original 
rule filed Feb. 17, 2011, effective Oct. 30, 2011. Amended: Filed June 
15, 2016, effective Nov. 30, 2016. Amended: Filed Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication 
of this notice in the Missouri Register. No public hearing is sched¬ 
uled. 


Title 6—DEPARTMENT OF HIGHER EDUCATION 

Division 10—Commissioner of Higher Education 

Chapter 2—Student Financial Assistance Programs 

PROPOSED AMENDMENT 

6 CSR 10-2.190 A+ Scholarship Program. The commissioner is 
amending subsection (3)(A). 

PURPOSE: These amendments update the eligibility policy to reflect 
statutory re\’isions. 

(3) Eligibility Policy. 

(A) To qualify for A+ tuition reimbursement, an initial recipient 
must meet the following criteria: 

1. Attend an A+ designated high school or high schools for at 
least three (3) years [immediately] prior to graduation and gradu¬ 
ate from an A+ designated high school. Enrollment [at all A + 
designated high schools attended] during the three (3) years 
[period immediately prior to the student's graduation] in 
which the student was in attendance at one (1) or more A+ des¬ 
ignated high schools must total a minimum of eighty percent (80%) 
of the instructional days required by the high school from which the 
student graduates. Interruptions in enrollment cumulatively totaling 
no more than twenty percent (20%) of instructional days in the three 
(3) years [period] in which the student was in attendance at one 
(1) or more A+ designated high schools may occur consecutively 
or intermittently; 

2. Make a good faith effort to first secure all available federal 
sources of funding that could be applied to the A + Scholarship reim¬ 
bursement; 

3. Be a U.S. citizen or permanent resident; 

4. Enter into a written agreement with the A+ designated high 
school prior to high school graduation; 

5. Graduate from an A+ designated high school with an overall 
grade point average of at least two and one-half (2.5) on a four-point 
(4.0) scale, or the equivalent on another scale; 


6. Have at least a ninety-five percent (95%) attendance record 
overall for grades nine through twelve (9-12); 

7. Have performed fifty (50) hours of unpaid tutoring or men¬ 
toring, of which up to twenty-five percent (25%) may include job 
shadowing, prior to high school graduation, except— 

A. When there are circumstances beyond a student’s control, 
the high school may extend the time period for completing this 
requirement on a case-by-case basis, not to exceed six (6) months 
beyond high school graduation; 

8. Beginning with the high school senior class of 2015, meet 
one (1) of the following indicators of college preparedness, unless the 
A+ school district has met all of the Department of Elementary and 
Secondary Education’s requirements for waiver of the Algebra I end- 
of-course exam for the recipient: 

A. Have achieved a score of proficient or advanced on the 
official Algebra I end-of-course exam, or a higher level DESE 
approved end-of-course exam in the field of mathematics; or 

B. Meet other criteria established by the CBHE. The CBHE 
will develop these criteria in consultation with participating A+ 
institutions and A+ designated high schools and may revise these 
criteria annually; 

9. Have maintained a record of good citizenship and avoidance 
of the unlawful use of drugs and/or alcohol while in grades nine 
through twelve (9-12). Student participation in the Constitution 
Project of Missouri may be included in a student’s record of good cit¬ 
izenship in accordance with the A+ designated high school’s policy; 

10. Be admitted as a regular student, enroll in an eligible pro¬ 
gram, and attend on a full-time basis a participating institution, 
except that students in the following circumstances may be enrolled 
less than full time: 

A. The student is enrolled in all of the available hours applic¬ 
able to the student’s program of study in a given term; 

B. The student is participating in a required internship; or 

C. The student is enrolled in prerequisite courses that do not 
require full-time enrollment; 

11. Not be enrolled or intend to use the award to enroll in a 
course of study leading to a degree in theology or divinity; 

12. Not have a criminal record preventing receipt of federal 
Title IV student financial aid; 

13. Meet the institution’s definition of satisfactory academic 
progress as determined by the participating institution’s policies as 
applied to other students at the participating institution receiving 
assistance under federal Title IV student financial aid programs, with 
the exception of cumulative grade point average (CGPA). The student 
must achieve a minimum CGPA of two (2.0) on a four-point (4.0) 
scale, or the equivalent on another scale, at the end of the fall semes¬ 
ter for semester-based programs, or at the end of the initial payment 
period for non-semester based programs. The calculation of CGPA 
shall be based on the participating institution’s policies as applied to 
other students in similar circumstances; and 

14. For students that receive a positive net disbursement in a 
given term, maintain eligibility by meeting the following course com¬ 
pletion standards. A course is considered complete if the student 
earns a standard grade for the course, including a failing grade but 
excluding a grade at withdrawal prior to completion: 

A. Complete a minimum of twelve (12) semester credit hours 
in the fall or spring semester, six (6) credit hours in the summer 
term, or the equivalent, for students enrolled full-time in an eligible 
credit hour program. Students unable to satisfy the statutory mini¬ 
mum requirements for full-time status under the federal Title IV stu¬ 
dent financial aid programs as a result of a disability as defined by 
Title II of the Americans with Disabilities Act must complete a min¬ 
imum of six (6) credit hours, or the equivalent, in any term; 

B. Complete a minimum of ninety (90) percent of the clock 
hours required for the federal payment period, for students enrolled 
full-time in an eligible clock hour program; or 

C. Complete all of the hours in which the student is enrolled 
in a given term, for students enrolled less than full-time in accordance 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 779 


with subparagraphs (3)(A)10.A.-C. of this rule. 

AUTHORITY: section 160.545, RSMo [2016] Supp. 2018 and 
Executive Order 10-16, dated January 29, 2010. Original rule filed 
Feb. 17, 2011, effective Oct. 30, 2011. For intervening history, please 
consult the Code of State Regulations. Amended: Filed Jan. 29, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri Department of Higher Education, PO Box 1469, Jefferson 
City, MO 65102-1469 or kelli.reed@dhe.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication of 
this notice in the Missouri Register. No public hearing is scheduled. 


Title 9—DEPARTMENT OF MENTAL HEALTH 

Division 10—Director, Department of Mental Health 
Chapter 5—General Program Procedures 

PROPOSED AMENDMENT 

9 CSR 10-5.190 Background Screening [for Employees and 
Volunteers] Requirements. The department is amending the rule 
title, purpose, sections (1)-(10), and adding new section (11). 

PURPOSE: This amendment clarifies the application of the rule and 
updates the rule to ensure it is consistent with section 630.170, 
RSMo, and makes necessary modifications to implement the changes 
impacting section 630.170, RSMo, that were effective January 1, 
2017, and adds a definitions section. 

PURPOSE: This rule establishes [standards for obtaining] back¬ 
ground screening requirements for [certain] staff and certain vol¬ 
unteers, students, and members of a provider’s household in any 
public or private facilities, community residential facilities, day pro¬ 
grams, or specialized service operated, licensed, certified, accredit¬ 
ed, in possession of deemed status, or funded by the Department of 
Mental Health. 

(1) Definitions. The following definitions apply to terms used in 
this rule: 

(A) DMH—the Missouri Department of Mental Health; 

(B) Members of the provider’s household—persons age eigh¬ 
teen (18) or older whose permanent residence is the provider’s 
household, or persons who visit the home on a frequent basis, or 
persons who spend the night in the home on a frequent basis such 
that direct, unsupervised contact with individuals served is likely 
to occur. For purposes of this rule, “frequent” means six (6) or 
more times over a rolling twelve- (12-) month period; 

(C) Natural supports—supports provided by a person of the 
individual’s choice that assist him or her in achieving his or her 
goals and facilitate his or her integration into the community. 
Natural supports are provided by persons who are not paid staff 
of an agency but may be initiated, planned, and facilitated in 
partnership with an agency; 

(D) Staff (staff member, employee, personnel)—a paid employ¬ 
ee or contractor providing services or supports on behalf of the 
agency on a full- or part-time basis who has contact with individ¬ 
uals served by the agency; 

(E) Student (student worker, student intern, practicum stu¬ 
dent)—a person who is not on the agency or provider payroll, but 


as part of his or her education or training has direct contact with 
individuals served; 

(F) Visitor—a family member, friend, clergy, or other person 
invited by the individual served; and 

(G) Volunteer—an unpaid person formally recognized by the 
agency to provide direct services or supports to individuals it 
serves. 

[(1) 7(2) For the purposes of this rule, public or private facilities, 
community residential facilities, day programs, and specialized ser¬ 
vices (agencies) are divided into two (2) categories, as follows: 

(A) Category I. [Those] Agencies that are certified or licensed 
exclusively by the Department of Mental Health (DMH) or, although 
not certified or licensed, are funded by [the department] DMH. 
Specifically this category includes: 

1. [Agencies certified by DMH as community psychiatric 
rehabilitation programs (CPRP), comprehensive substance 
abuse and treatment and rehabilitation programs (CSTAR), 
residential and/or outpatient programs;] All agencies certified 
by DMH; 

[2. Agencies certified by DMH in the community-based 
waiver certification program; 

3. Agencies certified by the Division of Alcohol and 
Drug Abuse;] 

14.12. [Facilities] Agencies that have contractual arrangements 
with [the department] DMH but are exempt from [the depart¬ 
ment's] DMH’s licensing and certification [rules] process due to 
accreditation or other reason; and 

[5J3. [Facilities and day programs which] Agencies that 
are licensed by [the department] DMH and do not have a license 
from another state agency; and 

(B) Category II. [Those] Agencies that/, in addition to a 
license or certificate from DMH,] have a license or [certifica¬ 
tion] certificate from another state agency. Specifically, this catego¬ 
ry includes [facilities] agencies licensed by the Children’s Division 
or the Department of Health and Senior Services; also included are 
intermediate care facilities/[mental retardation] for individuals 
with intellectual disabilities (lCFi]MR/\ 1)1)). [Facilities and 
a/Agencies included in Category II are subject to rules regarding 
criminal record review as promulgated by the state agency [which] 
that licenses or certifies them and are not subject to sections [(2)]( 4) 
through (7) of this rule, however, all other sections of this rule 
apply. [However such agencies are subject to sections (7), 
(8), '(9) and (10).] 

[(2)]( 3) This rule applies to— 

(A) Paid and unpaid [S ]staff and volunteers of the agency, 
including student workers; and 

[(B) Volunteers who are recruited as part of an agency's 
formal volunteer program but does not apply to volunteers 
who assist individuals as a friend would by providing assis¬ 
tance with shopping, transportation, recreation, etc.; and] 

[(C)] (B) For residential services, /M/membcrs of the provider’s 
////household, except children under the age of eighteen (18), who 
have contact with [residents or clients, except for minor chil¬ 
dren] individuals served. 

[(3)]( 4) Each [residential facility, day program or specialized 
service] agency defined under Category I above shall make the fol¬ 
lowing inquiries for all new [employees] staff, [and] volunteers, 

students, and members of the provider’s household, where 
applicable: 

(A) An inquiry with the Department of Health and Senior Services 
to determine whether the [new employee or volunteer] person 
having contact with [residents or clients] individuals served is 
listed on the employee disqualification list of the Department of 
Social Services or the Department of Health and Senior Services; 

(B) An inquiry with [the Department of Mental Health] DMH 



Page 780 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


to determine whether the [new employee or volunteer] person is 
on the DMH disqualification registry; and 

(C) A criminal background check with the Missouri State 
Highway Patrol. The request for the background check [shall] does 
not require fingerprints and shall be in accordance with requirements 
of the Missouri State Highway Patrol under Chapter 43, RSMo. The 
[facility, program or service] agency may use a private investiga¬ 
tory agency to conduct this review. 

[( 4/7(5) The criminal background check and inquiries required under 
section [(3) ] (4) of this rule shall be initiated [prior to the employ¬ 
ee or volunteer having contact with residents, clients or 
patients.] within two (2) working days of hire for staff who will 
have contact with individuals served. The criminal background 
check and inquiries required under section (4) of this rule shall 
be initiated prior to a volunteer, student, or members of the 
provider’s household having contact with individuals served, 
where applicable. A criminal background check is not required 
for visitors, persons providing natural supports, students, or 
other persons who are job shadowing and do not have unsuper¬ 
vised contact with individuals served, or volunteers who do not 
have unsupervised contact with individuals served. 

[(5) 7(6) Each [residential facility, day program and specialized 
service] agency included under Category I above shall require all 
new applicants for employment, [or] volunteer positions, students, 
and members of the provider’s household, where applicable, 
[involving] who will have contact with [residents or clients] indi¬ 
viduals served to— 

(A) Sign a consent form authorizing a criminal record review with 
the highway patrol, either directly through the patrol or through a 
private investigatory agency; 

(B) Disclose his/her criminal history, including any conviction or 
a plea of guilty to a misdemeanor or felony charge and any suspend¬ 
ed imposition of sentence, any suspended execution of sentence or 
any period of probation or parole; and 

(C) Disclose if s/he is listed on the employee disqualification list 
of the Department of Social Services or the Department of Health 
and Senior Services, or the DMH disqualification registry. 

[(6)](1) Each agency shall develop policies and procedures regarding 
the implementation of this rule and the disposition of information 
provided by the criminal record review. At a minimum the [guide¬ 
lines shall address—] policies and procedures shall include: 

(A) Procedures for obtaining the criminal record review; 

(B) Procedures for confidentiality of records; and 

(C) Guidelines for evaluating information received through the 
criminal record review which establish a clear boundary between 
[those] convictions [which] that by statute// must] exclude an 
individual from service, and [those] convictions [which] that 
would not automatically exclude an individual. 

[(7)](8) Offenses [which] under section 630.170, RSMo, that dis¬ 
qualify a person from service are as follows: 

(A) A person [shall be] is disqualified from holding any position 
in the agency if that person— 

1. Has been [convicted of,] found [quilty] guilty of [,] or 
[pled] pleaded guilty to or nolo contendere, including having 
received a suspended imposition of sentence or suspended execu¬ 
tion of sentence to any of the following [crimes.] offenses: 

A. [Physical abuse or Class / Neglect of a patient, res¬ 
ident or client] Abuse or neglect of an individual served as 
defined in section 630.155, RSMo; [or] 

B. Furnishing unfit food to [patients, residents or clients] 
an individual served as defined in section 630.160, RSMo/.7; or 

C. Vulnerable person abuse, as described in sections 
565.210 to 565.214, RSMo, as those sections existed prior to 
January 1, 2017. 


2. Is listed on the DMH disqualification registry; or 

3. Is listed on the employee disqualification list of the 
Department of Health and Senior Services or Department of Social 
Services. 

(B) A person who has been [convicted of,] found guilty [to,] of 
or [pled] pleaded guilty to or nolo contendere, including having 
received a suspended imposition of sentence or suspended execu¬ 
tion of sentence, to any of the [following crimes] offenses speci¬ 
fied in section 630.170.2, RSMo, [shall be] is disqualified from 
holding any position having contact with [patients, residents or 
clients] individuals served in the agency. For reference purposes, 
DMH maintains an updated list of disqualifying crimes under 
section 630.170, RSMo, at http://dmh.mo.gov/about/employeed- 
isqualification/. [The crimes listed below are not disqualifying 
unless they are felonies, except for failure to report abuse 
and neglect to the Department of Health and Senior 
Services, which is a Class A misdemeanor. The disqualifying 
crimes are: 

1. First or second degree murder; 

2. Voluntary manslaughter (includes assistance in self- 
murder); 

3. Involuntary manslaughter; 

4. First or second degree assault; 

5. Assault while on school property; 

6. Unlawful endangerment of another; 

7. First or second degree assault of a law enforcement 
officer; 

8. Tampering with a judicial officer; 

9. Kidnapping; 

10. Felonious restraint; 

11. False imprisonment; 

12. Interference with custody; 

13. Parental kidnapping; 

14. Child abduction; 

15. Elder abuse in the first degree or the second degree; 

16. Harassment; 

1 7. Stalking; 

18. Forcible rape; 

19. First or second degree statutory rape; 

20. Sexual assault; 

21. Forcible sodomy; 

22. First or second degree statutory sodomy; 

23. First or second degree child molestation; 

24. Deviate sexual assault; 

25. First degree sexual misconduct; 

26. Sexual abuse; 

2 7. Endangering the welfare of a child; 

28. Abuse of a child; 

29. Robbery in the first degree or second degree; 

30. Arson in the first or second degree; 

31. First or second degree pharmacy robbery; 

32. Incest; 

33. Causing catastrophe; 

34. First degree burglary; 

35. Felony count of invasion of privacy; 

36. Failure to report abuse and neglect to the 
Department of Social Services as required under subsection 
3 of section 198.070, RSMo; or 

37. Any equivalent felony offense.] 

1. A person who has been found guilty of or pleaded guilty 
or nolo contendere, including having received a suspended impo¬ 
sition of sentence or suspended execution of sentence, to a viola¬ 
tion of section 577.010, RSMo or section 577.012, RSMo and who 
is alleged and found by the court to be an aggravated or chronic 
offender under section 577.023, RSMo, is disqualified from hold¬ 
ing any position having contact with individuals served in the 
agency if the person is hired by the agency after January 1, 2014. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 781 


[(8)](9) Any person disqualified from employment under this rule 
may request an exception from the DMH Exceptions Committee in 
accordance with 9 CSR 10-5.210 Exceptions Committee Procedures. 

(A) The right to request an exception under this subsection [shall] 
does not apply to persons who are disqualified due to being listed on 
the employee disqualification registry of the Department of Social 
Services or Department of Health and Senior Services, nor does it 
apply under section 630.170.4, RSMo, to persons who are disqual¬ 
ified due to any [of the following crimes:] offenses pursuant to 
the provisions of Chapter 566 or sections 565.020, 565.021, 
568.020, 568.060, 569.025, as that section existed prior to 
January 1, 2017, or 574.080, RSMo. For reference purposes, 
DMH maintains an updated list of disqualifying crimes not eligi¬ 
ble for exception under section 630.170.4, RSMo, at 
http: //dmh. mo. gov/about/ employeedisqualification/. 

[1. First or second degree murder; 

2. First or second degree statutory rape; 

3. Sexual assault; 

4. Forcible sodomy; 

5. First or second degree statutory sodomy; 

6. First or second degree child molestation; 

7. Deviate sexual assault; 

8. Sexual misconduct involving a child; 

9. First degree sexual misconduct; 

10. Sexual abuse; 

77. Incest; 

12. Causing catastrophe; 

13. Abuse of a child; 

14. First degree pharmacy robbery; or 

15. Forcible rape.] 

//9//(10) For the purposes of this rule, a verdict of not guilty by rea¬ 
son of insanity (NGRI) is not per se disqualifying. A suspended 
imposition of sentence (SIS) or suspended execution of sentence 
(SES) is disqualifying. 

[( 70/7(11) [A provider shall not hire a]Any person who has com¬ 
mitted a disqualifying crime as identified in section (8) of this rule, 
unless the person has received an exception from [the department] 
DMH, is not eligible for hire by an agency. However, the 
[provider] agency retains the discretionary authority to deny 
employment to persons who— 

(A) Have committed crimes not identified as disqualifying; 

(B) Have received an exception from the Exceptions Committee; 
or 

(C) Have received a verdict of Not Guilty by Reason of Insanity. 

AUTHORITY: sections 630.170, [and 660.317, RSMo Supp. 
2003 and] 630.655 [and], 630.710, and 660.317, RSMo [2000] 
2016. Emergency rule filed Aug. 15, 1997, effective Aug. 28, 1997, 
expired Feb. 26, 1998. Original rule filed Aug. 15, 1997, effective 
March 30, 1998. Amended: Filed Oct. 29, 1998, effective May 30, 
1999. Amended: Filed Nov. 3, 2003, effective April 30, 2004. 
Amended: Filed March 29, 2004, effective Sept. 30, 2004. Amended: 
Filed Jan. 22, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment by writing to 
Gail Vasterling, General Counsel, Department of Mental Health, PO 
Box 687, Jefferson City, MO 65102. To be considered, comments 
must be delivered by regular mail, express or overnight mail, or by 


courier within thirty (30) days after publication in the Missouri 
Register. If to be hand delivered, comments must be brought to the 
Department of Mental Health at 1706 E. Elm Street, Jefferson City, 
Missouri. No public hearing is scheduled. 


Title 9—DEPARTMENT OF MENTAL HEALTH 
Division 30—Certification Standards 
Chapter 3—Substance Use Disorder Treatment Programs 

PROPOSED AMENDMENT 

9 CSR 30-3.230 Required Educational Assessment and Community 
Treatment Program (REACT). The department is amending the rule 
title, purpose, and sections (l)-(23), deleting old sections (7), (10), 
(18), (20), (21) and (26), and renumbering as needed. 

PURPOSE: This amendment updates terminology and requirements 
for the REACT program. 

PURPOSE: This rule identifies the Department of Mental Health 
(department) as being responsible for the certification of [Required 
Educational Assessment Community Treatment] REACT pro¬ 
grams as mandated by state statute. 

(1) Mission. [The Missouri Required Educational Assessment 
and Community Treatment (REACT) program] As specified in 
section 559.633, RSMo, REACT is a statewide system of compre¬ 
hensive, accessible, community-based education and treatment pro¬ 
grams designed for individuals who have been found guilty of, or 
pled guilty to a Chapter 195 felony drug offense. The mission of 
REACT is- 

(A) To promote a drug- and crime-free lifestyle for individuals 
served; 

(B) To provide education and/or treatment on the multi-faceted 
consequences of substance use for individuals served; 

(C) [To explore intervention and treatment options] To 
engage individuals appropriate for treatment towards personal 
change and recovery; and 

(2) Program Functions. REACT programs shall provide or arrange 
for [assessment] screening/;/, education/;/, and treatment services 
for individuals referred to the program. 

(3) Performance Indicators. The following are intended as examples 
of indicators that can be used by the department and the organization 
providing REACT to demonstrate achievement of the program’s mis¬ 
sion and functions. Indicators can include, but are not limited to the 
following: 

(A) Characteristics of persons participating in REACT such as 
type of offense, prior alcohol and drug offenses, and prior treatment 
history /efc./; 

(E) [Consumer s/Satisfaction with services and feedback as 

reported by individuals served. 

(4) Types of Programs. The department [shall] recognizes and [cer¬ 
tify] certifies the following types of [Required Educational 
Assessment and Community Treatment] REACT programs: 

(A) REACT Screening Unit (RSU) [which provides assess¬ 
ment screening including an] —provide substance use screen¬ 
ings as part of the assessment process, including an individualized 
interview/,/ and recommendation and referral for further services 
for [those coming] individuals under the purview of section 
559.630, RSMo; and 

(B) REACT Education Program (REP) [which]— provide/s/ basic 
[offender] education over the course of ten (10) hours [for lower 
risk first offenders to assist them] to assist individuals in 
understanding the choices they made that led to their arrest and the 



Page 782 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


resulting consequences. All persons completing this course shall 
develop a personal change plan [of action] to assist them in prevent¬ 
ing future offenses. 

(5) Requirements for Program Certification. REACT programs shall 
comply with [Certification of Alcohol and Drug Abuse 
Programs.] 9 CSR 30-3.032. 

(A) [Rules] Requirements under 9 CSR 10-7.120 [Physical 
Plant and Safety] shall be applicable based on the type of services 
provided by the program and whether services are offered to individ¬ 
uals and groups at the program site. In addition— 

1. The program must be located in an office, clinic, or other 
professional setting. 

2. [Assessment s/Screenings must be located in a setting 
which provides space for private, one-on-one interviews and ensures 
confidentiality. With the department’s written approval, screenings 
may be conducted at other locations on a limited basis, if confiden¬ 
tiality is assured and the individual agrees to a screening at the alter¬ 
nate site. 

(B) The following [rules and standards] regulations shall be 
waived for REACT programs/,7 unless the department determines 
[that] a specific requirement is applicable due to the unique circum¬ 
stances and service delivery methods of a program: 

1. 9 CSR 10-7.010 [Treatment Principles and Outcomes 7; 

2. 9 CSR 10-7.030 [Service Delivery Process and 

Documentation]-, 

3. 9 CSR 10-7.060 [Behavior Management]-, 

4. 9 CSR 10-7.070 [Medications]-, 

5. 9 CSR 10-7.080 [Dietary Services]-, 

6. 9 CSR 30-3.100 [Service Delivery Process and 

Documentation (ADA)]; and 

7. 9 CSR 30-3.110 [Service Definitions and Staff 

Qualifications (ADA)]. 

(6) Other Requirements. Agencies certified as a [Required 

Educational Assessment and Community Treatment] REACT 
program shall follow the [standards found] regulations in 9 CSR 
3O-3./20O/2O1 through 9 CSR 30-3./2 70/208, unless otherwise 
specified in this rule. [When reference is made to the 
Substance Abuse Traffic Offender Program (SATOP), it shall 
apply to the REACT program. When reference is made to 
SATOP Offender Management Unit (OMU), it shall apply to 
the RSU.J 

[(7) Assessment Screening Required. The program shall 
have written policies and procedures that stipulate the meth¬ 
ods of assessment screening and the conditions under 
which referrals are made for further services. 

(A) The written policies and procedures must follow the 
screening guidelines outlined by the Department of Mental 
Health and the Department of Corrections. 

(B) The program shall provide assessment screening and 
recommendation, where appropriate, to education or treat¬ 
ment. 

(C) A program that provides assessment screening must 
also provide REP services. 

(D) A person may request and attend a REP operated by a 
different agency due to reasonable circumstances, such as 
distance, work schedule or other time factors. 

(E) A separate amount paid by the client shall cover the 
assessment screening in addition to the cost of the pro¬ 
gram.] 

[(8) Qualifying Staff. A REACT program shall not employ, or 
sub-contract with any individual, nor themselves be current¬ 
ly, or within a two (2)-year period, under the supervision or 
jurisdiction of federal, state, county or local corrections or 
court system.] (7) Staff Requirements. REACT programs shall 


not utilize any person under the supervision of any federal, state, 
county, and/or city correctional department to provide services to 
offenders. 

[(9) Assessment Screening Process.] (8) Screening 
Requirements. All persons referred to REACT shall/, prior to 
attending the education or treatment program,] receive an 
individualized [assessment] screening prior to participating in 
services to determine the [need for treatment or education.] 
severity of his or her substance use disorder and the type of edu¬ 
cation and/or treatment needed. The program shall utilize a 
screening instrument approved by the Department of Corrections 
(DOC). [The assessment screening process shall include:] 

(A) Policies and procedures shall define the program’s screen¬ 
ing process, including referral criteria when the screening deter¬ 
mines additional services are needed. The screening process 
shall include, but is not limited to: 

[(A) Demographic data collection;] 

1. Collection of demographic information; 

[(B)]2. [A] Use of the standardized screening instrument as 
required by DOC; 

[(C) 73. A face-to-face [individualized assessment screen¬ 
ing] interview with a qualified addiction professional (QAP); 

[(D) A legible hand printed or typewritten screening 
report;] 

4. A summary report of screening results; 

[(E)] 5. Completion of the REACT Offender Assignment form 
and/, when requested,] a narrative report provided to the [court] 
individual’s probation/parole officer; and 

[(F) Minimal case] 6. Case coordination [when appropriate, 
to coordinate] as needed with the courts, probation and parole, 
and/or [the Department of Corrections] DOC to verify [that] 
education/, rehabilitation] and treatment recommendations have 
been completed. 

[(G) An assessment] (B) A written screening recommendation 
shall be [delivered in writing] provided to the person served. 

(C) With proper authorization from the individual served, col¬ 
laborative data may be obtained such as treatment history and 
relevant information from family members and other natural 
supports. 

(D) Individuals may participate in a REP with an agency that 
did not conduct his/her screening due to reasonable circum¬ 
stances such as distance, work schedule, or other time-related 
factors. 

[(10) Components of Assessment Screening. The assess¬ 
ment screening by the certified program shall follow basic 
guidelines established by the Department of Corrections 
(DOC). 

(A) AH clients shall complete a valid and reliable screening 
instrument approved by the DOC to identify problem users. 
The screening instrument shall be standardized, consistent 
statewide, and interpreted by certified qualified substance 
abuse professionals who are properly supervised and trained 
in the use of the screening device. 

(B) All clients shall have an individualized assessment 
screening interview conducted by a qualified substance 
abuse professional. 

1. The individualized assessment screening shall deter¬ 
mine the extent of the problem (or lack of a problem) and 
the level or type of treatment or education services needed. 

2. The assessment screening shall include, but not be 
limited to, a screening instrument summary including a sub¬ 
stance use history, prior treatment history, summary of find¬ 
ings and a recommendation for either education or treatment 
based on minimum referral guidelines. 

3. Collaborative information, such as previous treatment 
information and contacting significant others, may be 



March 1, 2019 
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Missouri Register 


Page 783 


obtained with proper authorization when appropriate.] 

[(11)](9) Quality Recommendations. The program must develop 
[assessment] screening recommendations that are— 

(A) Impartial and solely based on the needs of the offender and the 
welfare of society; and 

(B) Never used as a means of case finding for any particular treat¬ 
ment program or as a marketing tool for any REACT program. 

7(72)7(10) Referral Guidelines. The program must base [the 
assessment screening] its recommendation and referral plan for 
each person on the following [referral] guidelines: 

(A) REP [education] unless [a more intense program] treat¬ 
ment for a substance use disorder is indicated by [such] factors 
such as other alcohol/drug-related arrests, screening instrument rec¬ 
ommendations, prior alcohol/drug treatment, or other occupational, 
relationship, or medical problems; and 

(B) [Persons with a serious mental illness should have their 
mental health treatment needs addressed before completing 
any REACT recommendation. A mental health evaluation 
should be arranged for those clients identified with serious 
emotional or mental health problems during the REACT 
assessment screening process, in order to promptly arrange 
the mental health evaluation, the REACT agency conducting 
assessment screenings must maintain a formal affiliation 
agreement with either a certified community mental health 
center, state mental health facility, licensed psychiatrist, 
licensed psychologist, or licensed clinical social worker. The 
client may resume REACT participation upon stabilization of 
the problem as determined by the client's mental health 
provider.] Individuals who have a serious emotional disorder or 
serious mental illness which may interfere with his/her participa¬ 
tion in REACT shall be referred to a qualified mental health pro¬ 
fessional for an evaluation. Participation in REACT may be 
delayed until the individual’s mental health needs are evaluated 
and necessary services are obtained. 

1. RSUs shall maintain an affiliation agreement or memo¬ 
randum of understanding with a certified community mental 
health center or a licensed mental health professional in order to 
promptly coordinate mental health services. 

[(13) 7(11) [Assessment] Screening Cost. The cost of the [assess¬ 
ment screening, along with the sixty-dollar ($60) supple¬ 
mental fee approved by the department,] screening is deter¬ 
mined by DOC and shall be paid by the [client and should] indi¬ 
vidual served. The screening fee shall not be excessively greater 
than relative costs indicate and [shall] include the costs for any case 
coordination functions necessary to— 

(A) Monitor the [client's] individual’s progress in [either] the 
education or [a] treatment program(s); and/or 

(B) Coordinate with the courts or probation and parole. 

[(14)1(12) Notice of Program Assignment and Completion. The 
[agency] RSU that conducts the [assessment] screening [for 
offenders] shall provide each individual with a REACT Offender 
Assignment form after completion of the screening and a REACT 
Report of Offender Compliance form [regarding] indicating suc¬ 
cessful completion or unsuccessful completion of the education por¬ 
tion of the program. 

(A) [A referring probation and parole office shall be sent a 
REACT Offender Assignment form within one (1) week of 
the assessment screening and a REACT Report of Offender 
Compliance form within one (1) week of program comple¬ 
tion.] The RSU shall provide a copy of the REACT Offender 
Assignment form to the referring probation and parole office 
within one (1) week of completion of the screening. The RSU 
shall provide a copy of the REACT Report of Offender 
Compliance form to the referring probation and parole office 


within one (1) week of each individual’s successful program com¬ 
pletion. 

(B) The RSU shall send [A] a copy of the REACT Offender 
Assignment form and the REACT Report of Offender Compliance 
form [shall be sent] to [the Department of Mental Health] 
DOC, Division of Offender Rehabilitation Services, 2715 Plaza 
Drive, Jefferson City, MO 65109. 

(C) [A copy of the REACT Offender Assignment form and 
the] The RSU shall provide a REACT Completion Certificate 
[shall be given to the offender. ] to each individual served who 
successfully completes the program. 

(13) Cost of the REP. The individual served shall pay for the cost 
of the REP. The cost is determined and approved by DOC and 
shall cover the operating expenses of the REP. 

(14) Curriculum Guide. The REP shall be conducted in accor¬ 
dance with the curriculum established by DOC. A program must 
specifically request and obtain approval from DOC before devi¬ 
ating in any manner from the established curriculum. 

(15) Treatment Programs Recognized for REACT. When the 
[assessment] screening indicates the individual’s need for sub¬ 
stance use disorder treatment, [and rehabilitation,] arrangements 
shall be made for the person to participate in such services. [The 
department shall recognize the following types of treatment 
and rehabilitation programs for offenders: 

(A) Certified or Accredited Alcohol and/or Drug Treatment 
and Rehabilitation Programs.] 

(A) The recognized providers of treatment services for individ¬ 
uals in the REACT program include department-certified, 
deemed certified, and nationally accredited substance use disor¬ 
der treatment programs. 

(16) Criteria for Successful Completion of Treatment. [When the 
assessment screening process indicates and if the person is 
eligible, certified alcohol and drug treatment and rehabilita¬ 
tion programs may also provide services for offenders, in 
addition, such persons who complete certified treatment 
programs after being charged or adjudicated for their offense 
but prior to their RSP screening process, may substitute par¬ 
ticipation in these treatment programs under certain condi¬ 
tions.] In order to be recognized by REACT as successfully complet¬ 
ing treatment, the [offender] individual must have written verifica¬ 
tion from a department-certified, deemed certified, or nationally 
accredited substance use disorder treatment program that he or she 
has— 

(A) Participated as scheduled in treatment services [on a residen¬ 
tial and/or outpatient basis] for a period of at least ninety (90) 
[calendar] days; 

(B) [Substantially] Successfully achieved his/her personal recov¬ 
ery goals; and 

(C) Met any other program requirements for successful comple¬ 
tion of treatment. [Those persons presenting] Individuals with a 
moderate to severe substance use disorder [along with] who have a 
history of multiple offenses must participate in [one hundred sixty 
(160) hours] a minimum of seventy-five (75) hours of treatment 
services during the treatment episode. 

(D) Individuals who complete a department-certified, deemed 
certified, or nationally accredited substance use disorder treat¬ 
ment program after being charged or adjudicated for their 
offense, but prior to screening with a RSU, must receive approval 
from DOC to waive the REACT requirements as a result of 
his/her participation in such treatment. 

(17) Cost of Treatment. The [offender shall be] individual served 
is responsible for all costs related to [the] completion of [the] sub¬ 
stance use disorder treatment [programs] referenced in or required 



Page 784 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


by this rule, [subsequent to the RSP assessment screening.] 

[(A) AH offenders shall be required to pay an initial base 
amount determined by the Department of Corrections before 
applying the Standard Means Test in accordance with 9 CSR 
10-1.016.] 

[(B)]( A) [The client shall be responsible for all c7Costs relat¬ 
ed to treatment [that are not reimbursed through a third-party 
payer, including the Department of Corrections, or the 
Standard Means Test process.] shall be based on the depart¬ 
ment’s Standard Means Test sliding fee scale. 

[(C) 7(B) Programs may develop long-term payment plans to rea¬ 
sonably assist [the client] individuals in paying [off] any outstand¬ 
ing balances. 

[(18) Cost of the REP Education Program. The cost shall be 
determined and approved by the Department of Corrections 
and shall be paid by the offender and shall cover the cost of 
the REP education program.] 

7(79)7(18) Review and Approval of Costs. All REACT screening 
and education fees approved by [the Department of Corrections] 
DOC shall be periodically reviewed and adjusted, if necessary, based 
on the best interests of [the offender] individuals served, society, 
and the programs. 

[(20) Curriculum Guide. The REP program shall be conducted 
in accordance with the current edition of the OEP Missouri 
Curriculum Guide, REACT Addendum. A program must 
specifically request and obtain approval from the division 
before deviating in any manner from the content and meth¬ 
ods in the applicable Missouri Curriculum Guide. 

(21) REACT Training Program. A certified training program 
must, in addition to following standards found in 9 CSR 30- 
3.206, provide training on REACT standards. Certified staff 
shall complete a written examination and demonstrate the 
knowledge necessary to conduct the REACT programs.] 

[(22) 7(19) Supplemental Fee. All REACT programs shall collect 
[from all applicants entering the program] a sixty7-7dollar ($60) 
supplemental fee [which shall be] from all individuals entering 
the program in addition to any other costs that may be charged by 
the program. The supplemental fee shall be collected no more than 
one (1) time from any individual who has entered REACT, whether 
for [assessment] screening or for an educational program. 

[(23) 7(20) Remittance of Supplemental Fees. On or before the fif¬ 
teenth (15th) day of each month, REACT progrant directors shall 
remit the total of all supplemental fees collected during the prior cal¬ 
endar month, less two percent (2%) which, by law, may be retained 
by the program to offset collection and remittance costs. 

(A) Remittance shall be mailed to: Correctional Substance Abuse 
Earnings Fund, Department of Corrections, 2729 Plaza Drive, 
Jefferson City, MO 65102. 

(B) Transfer of supplemental fees from the program to the 
Correctional Substance Abuse Earnings Fund shall be in the form of 
a single check made payable to the Correctional Substance Abuse 
Earnings Fund. 

(C) Program remittance checks shall be accompanied by a 
Supplemental Fee Remittance Form (to be provided by [the 
Department of Corrections] DOC at no cost to the program), 
which shall list name and Social Security [n] Number of persons pay¬ 
ing each supplemental fee being remitted. 

[(24) 7(21) Documentation of Supplemental Fee Transactions. Each 
REACT program shall maintain, at its principal administrative cen¬ 
ter, a single record of all supplemental fee transactions7,7 which is 
separate from all other program records. This separate record will 


facilitate audits that may [from time-to-time] be conducted period¬ 
ically by the [Department of Mental Health, the Department 
of Corrections,] department, DOC, or the state auditor’s office. 
A separate program record of supplemental fee transactions shall 
include copies of monthly remittance forms and copies of checks for¬ 
warded to the Correctional Substance Abuse Earnings Fund. 

[(25) 7(22) Acceptance of Supplemental Fees. [The Department of 
Corrections] DOC shall accept supplemental fee remittances only 
from certified REACT programs. Supplemental fee remittances, if 
received by [the department] DOC from any agency not certified, 
will be returned to that agency. If an agency’s certification has been 
revoked, [the department] DOC will only accept supplemental fee 
remittances that were collected prior to the date the agency’s certifi¬ 
cation was revoked. Remittances collected by the agency from 
[clients] individuals after the date of the revocation shall not be 
accepted by [the department] DOC. In such case, the supplemen¬ 
tal fee must be returned to the [client] individual by the agency. 

[(26) Notice Posted. Programs shall post in places readily 
accessible to persons served, one (1) or more copies of a 
Student Notice Poster that shall be provided by the 
Department of Corrections at no cost to the program. 
Posters shall explain the statutory requirement for supple¬ 
mental fees, disposition of supplemental fees, and the 
means by which programs collect and remit supplemental 
fees.] 

[(27) 7(23) Compliance. Failure to adhere to the stipulations, condi¬ 
tions, and requirements set forth in this rule shall be considered 
cause for revocation of program certification. 

AUTHORITY: sections 559.630, 559.633, 559.635, 630.050, 
630.655 and 631.010, RSMo [2000] 2016. This rule originally filed 
as 9 CSR 30-3.800. Original rule filed Oct. 16, 1998, effective 
March 30, 1999. Moved to 9 CSR 30-3.230 and amended: Filed Feb. 
28, 2001, effective Oct. 30, 2001. Amended: Filed Jan. 22, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment by writing to 
Gail Vasterling, General Counsel, Department of Mental Health, PO 
Box 687, Jefferson City, MO 65102. To be considered, comments 
must be delivered by regular mail, express or overnight mail, or by 
courier within thirty (30) days after publication in the Missouri 
Register. If to be hand-delivered, comments must be brought to the 
Department of Mental Health at 1706 E. Elm Street, Jefferson City, 
Missouri. No public hearing is scheduled. 


Title 9—DEPARTMENT OF MENTAL HEALTH 
Division 45—Division of Developmental Disabilities 
Chapter 3—Services and Supports 

PROPOSED AMENDMENT 

9 CSR 45-3.010 [Individualized Habilitation Plan Procedures] 
Individual Support Plans. The division is amending the purpose, 
deleting sections (l)-(8), and amending new sections (1)—(13). 

PURPOSE: This amendment changes the name of the division to 
comply with HB 555 and HB 648 passed by the 95th Missouri 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 785 


General Assembly, which remove the term “mental retardation” from 
Missouri statutes, updates the rule with more current terminology in 
the field of de\’elopmental disabilities, and modifies the rule to be in 
compliance with the final federal rule for home and community- 
based services at 42 CFR Part 441.301. 

PURPOSE: This rule prescribes procedures for development and 
implementation of individual [ized habilitation] support plans for all 
individuals receiving services from the Division of [Mental 
Retardation and] De\’elopmental Disabilities. 

[(1) Terms defined in sections 630.005 and 633.005, RSMo 
are incorporated by reference for use in this rule. Unless the 
context clearly indicates otherwise, the following terms 
mean: 

(A) Assessment—the process of gathering information 
about a client for use by the interdisciplinary team as a basis 
for the client's individualized habilitation plan (IHP); 

(B) IHP amendment— documentation of an interdisciplinary 
team's change in an IHP at a time other than the time of 
annual review; 

(C) Interdisciplinary team —the client, the client's desig¬ 
nated representative(s), the case manager or qualified men¬ 
tal retardation professional, and representatives of services 
required or desired by the client; 

(D) Qualified mental retardation professional (QMRP)—a 
person with qualifications, training and experience as 
defined in 42 CFR 483.430; and 

(E) Reassessment—data obtained from training programs, 
results of screenings and formal or informal assessments 
completed since the previous interdisciplinary team meeting. 

12) Every individual receiving services from the division shall 
have an IHP. 

(A) The interdisciplinary team shall develop an IHP within 
thirty (30) days after the individual has been found eligible 
for services. 

(B) The IHP shall be based upon a comprehensive, func¬ 
tional evaluation of individual needs. It shall define the indi¬ 
vidual's current level of independence, identify the projected 
level of independence that the individual is expected to 
achieve and describe objectives to reach that level. 

(C) The interdisciplinary team shall ensure completion of 
the following steps to efficiently plan, implement and moni¬ 
tor the IHP: assessment, team synthesis of assessment 
results, development of the IHP, development of training pro¬ 
grams, implementation of the IHP, reassessments and annual 
review of the IHP by the entire team. 

(D) The IHP shall contain at least the minimum information 
required to comply with the division's approved IHP format. 

(3) The interdisciplinary team shall review every IHP at least 
annually. IHP reassessments shall be completed within nine¬ 
ty (90) days before annual IHP reviews. 

(4) The case manager or QMRP shall regularly monitor imple¬ 
mentation of the IHP. 

(A) The case manager or QMRP shall periodically observe 
each individual during implementation of the IHP. 

(B) Each month the case manager or QMRP shall monitor 
every IHP which prescribes residential services or contains 
habiiitative objectives to determine if services are being 
delivered as planned and, to assure that progress is being 
made. 

(C) At least annually, the case manager or QMRP shall 
review each IHP which prescribes nonhabilitative services 
only. 


(5) The case manager or QMRP may make changes in IHP 
objectives only with prior approval of the interdisciplinary 
team. Addition of training objectives and deletion of training 
and service objectives also require prior team approval. 
Addition of service objectives requires notification of the 
team. The case manager or QMRP may make changes in 
training plans or methods to insure progress toward achieve¬ 
ment of objectives. Any amendment to the IHP shall be doc¬ 
umented in the individual's record. 

(6) Division facilities shall prescribe services in an eligible 
individual's IHP or IHP amendment before the services are 
authorized, delivered or purchased. 

(7) The division facility may authorize emergency residential 
services, respite care or crisis intervention for up to thirty 
(30) days without prior approval of the interdisciplinary 
team. 

(8) Each division facility shall develop a policy for implement¬ 
ing the IHP process.] 

(1) Definitions. 

(A) Assessment—the process of gathering information about an 
individual for use by the individual support plan team as a basis 
for the individual support plan. Assessment, as used in this rule, 
does not include determination of eligibility by the Department of 
Mental Health (DMH) as set forth in 9 CSR 45-2.010. 

(B) Division—the Division of Developmental Disabilities. 

(C) Home and Community-based Waivers—also referred to as 
home and community-based services (HCBS) in this rule; a set of 
long-term community-based supports and services authorized by 
the Centers for Medicare and Medicaid Services which are pro¬ 
vided as an alternative to care in institutions such as nursing 
facilities and intermediate care facilities for individuals with 
intellectual disabilities. 

(D) Individual Support plan (ISP)—a document developed by 
the individual, with assistance as needed from a representative, 
in collaboration with the individual support plan team. The ISP 
identifies strengths, capacities, preferences, needs, and desired 
outcomes of the individual. The ISP encompasses a personalized 
mix of paid and non-paid services and supports that will assist 
him/her to achieve personally defined outcomes. Training, sup¬ 
ports, therapies, treatments and/or other services to be provided 
for the individual become part of the ISP. ISP is also referred to 
as a person-centered service plan. 

(E) Individual support plan team—the individual, the individ¬ 
ual’s guardian or designated representative(s), and the support 
coordinator. Providers of waiver-funded services may also partic¬ 
ipate in the support plan team if such participation is requested 
by the individual, guardian, or designated representative. 

(F) MO HealthNet—Missouri’s name for the state’s Medicaid 
program, authorized under Title XIX of the Social Security Act. 

(G) MO HealthNet participant—an individual enrolled with 
MO HealthNet. 

(H) Natural supports—any unpaid support including but not 
limited to immediate and extended family members, friends, co¬ 
workers, neighbors, and community services available to any 
individual regardless of disability. 

(I) Reassessment—data obtained from training programs, 
results of screenings, and formal or informal assessments com¬ 
pleted since the previous ISP team meeting. 

(J) Waiver participant—individual receiving HCBS services. 

(2) Every individual referred to a qualified provider of targeted 
case management who is a participant of MO HealthNet or who 
receives any services funded by the division, including services 
under a home and community-based waiver or services funded 



Page 786 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


only by general revenue, shall have an individual support plan 

(ISP). 

(3) Person-centered planning shall be done in accordance with 42 
CFR 441.301(c)(1). The individual shall lead the person-cen¬ 
tered planning process where possible. The individual's represen¬ 
tative should have a participatory role, as needed and as defined 
by the individual or guardian, if applicable. In addition to being 
led by the individual receiving services and supports, the person- 
centered planning process shall: 

(A) Include people chosen by the individual; 

(B) Provide necessary information and support to ensure that 
the individual directs the process to the maximum extent possi¬ 
ble, and is enabled to make informed choices and decisions; 

(C) Be scheduled at times and locations of convenience to the 
individual; 

(D) Reflect cultural considerations of the individual and be 
conducted by providing information in plain language and in a 
manner that is accessible to individuals with disabilities and per¬ 
sons who are limited English proficient; and 

(E) Include strategies for solving conflict or disagreement with¬ 
in the process, including clear conflict of interest guidelines for 
all planning participants. 

(4) In accordance with 42 CFR 441.301(c)(2), the ISP shall reflect 
the services and supports that are important for the individual to 
meet the needs identified through an assessment of functional 
need, as well as what is important to the individual with regard 
to preferences for the delivery of such services and supports. 
Commensurate with the level of need of the individual and the 
scope of services and supports available through the division, the 
ISP shall: 

(A) Reflect the individual’s strengths and preferences; 

(B) Reflect clinical and support needs as identified through an 
assessment of functional need; 

(C) Include individually identified goals and desired outcomes; 

(D) Reflect the services and supports (paid and unpaid) to 
assist the individual to achieve identified goals, and the providers 
of those services and supports, including natural supports; 

(E) Reflect risk factors and measures in place to minimize 
them, including individualized back-up plans and strategies 
when needed; 

(F) Be understandable to the individual receiving services and 
supports, and the individuals important in supporting him or 
her. At a minimum, for the ISP to be understandable, it is writ¬ 
ten in plain language and in a manner that is accessible to indi¬ 
viduals with disabilities and persons who are limited English pro¬ 
ficient; 

(G) Identify the individual and/or entity responsible for moni¬ 
toring the ISP; 

(H) Be distributed to the individual and any other individuals 
or providers who sign the plan, as specified in section (5) of this 
rule; 

(I) Include those services, the purpose or control of which the 
individual elects to self-direct or designate an authorized repre¬ 
sentative to direct on his or her behalf; 

(J) Prevent the provision of unnecessary or inappropriate ser¬ 
vices and supports; and 

(K) Document that any restrictions of individual rights is sup¬ 
ported by a specific assessed need and justified in the ISP in 
accordance with 42 CSR 441.301(c)(2). 

(5) The ISP shall be finalized and agreed to, with the informed 
consent of the individual in writing, and signed by all individuals 
and providers responsible for its implementation in accordance 
with 42 CFR 441.301(c)(2)(ix), with the exception of providers of 
assistive technology, dental, durable medical equipment, environ¬ 
mental accessibility adaptations, specialized medical equipment 


and supplies, and transportation. 

(A) Signatures may be added to the plan electronically using a 
format accepted by MO HealthNet. 

(B) If it is not possible to obtain a written signature from the 
individual or guardian, the Division Regional Office Director or 
his or her designee may approve an exception if the following 
steps are completed: 

1. At least two (2) attempts to obtain the signature are doc¬ 
umented. One (1) attempt may be either by phone or E-mail, and 
the other attempt documented through certified mail with deliv¬ 
ery validated by a signed return receipt; 

2. A justification is attached to the ISP describing these and 
any other efforts made to obtain the signature; and 

3. The regional director may require additional efforts by 
the support coordinator to obtain the signature from the individ¬ 
ual or guardian. 

(C) If the exception to the signature is approved by the regional 
director or designee, a copy of the approved exception request is 
sent to everyone to whom a copy of the ISP is distributed. 

(6) ISP Review: The ISP shall be reviewed and revised upon 
reassessment of functional need in accordance with 9 CSR 45- 
2.010 at least every twelve (12) months, when the individual's cir¬ 
cumstances or needs change significantly, or at the request of the 
individual. The reassessment of functional need shall be complet¬ 
ed within ninety (90) days before the ISP review. 

(7) ISP updates require prior written approval from the ISP team 
before implementation of the change and signatures in accor¬ 
dance with section (5) of this rule. ISP updates requiring prior 
written approval include: 

(A) Addition of a new service; 

(B) Increase or decrease in amount and/or frequency of a ser¬ 
vice already in place; 

(C) Termination of a service; 

(D) Limitation of rights as set forth in 9 CSR 45-3.030; and 

(E) Change in ISP outcomes. 

(8) Changes in legal information including, but not limited to, 
arrests, incarceration, court orders, and legal actions other than 
changes in guardianship shall be documented in the ISP but shall 
not require prior written approval or signatures if the change 
does not result in a change in services. 

(9) Denial, reduction, or termination of a service is subject to 
appeal as set forth in 9 CSR 45-2.020. 

(10) Changes in training plans or methods to ensure progress 
toward achievement of outcomes already documented in the ISP 
may be made by the provider of the related service as needed 
without approval of the ISP team. 

(11) The division may authorize emergency residential services, 
respite care, or crisis intervention for up to thirty (30) days with¬ 
out prior approval of the ISP team. 

(12) The division shall provide guidance and technical assistance 
to providers of support coordination in the person-centered plan¬ 
ning process and the development and oversight of the ISP. 

(13) Individuals with developmental disabilities, as defined in 9 
CSR 45-2.010, but who are not MO HealthNet participants and 
who do not receive services from the division funded by general 
revenue shall be provided with individualized information based 
on, but not limited to, their age, diagnosis, and geographic resi¬ 
dence. 

AUTHORITY: section 630.655, RSMo [(1994)] 2016. The rule was 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 787 


previously filed as 9 CSR 10-5.150. Original rule filed Nov. 30, 1990, 
effective April 29, 1991. Amended: Filed May 25, 1995, effective 
Dec. 30, 1995. Amended: Filed Jan. 22, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment by writing to 
Gail Vasterling, General Counsel, Department of Mental Health, PO 
Box 687, Jefferson City, MO 65102. To be considered, comments 
must be delivered by regular mail, express or overnight mail, or by 
courier within thirty (30) days after publication in the Missouri 
Register. If to be hand delivered, comments must be brought to the 
Department of Mental Health at 1706 E. Elm Street, Jefferson City, 
Missouri. No public hearing is scheduled. 


Title 11—DEPARTMENT OF PUBLIC SAFETY 
Division 70—Division of Alcohol and Tobacco Control 
Chapter 2—Rules and Regulations 

PROPOSED AMENDMENT 

11 CSR 70-2.240 Advertising of Intoxicating Liquor [and 
Nonintoxicating Beer], The division is amending sections (1)—(18). 

PURPOSE: This amendment reflects the elimination of language that 
the Division of Alcohol and Tobacco Control has been enjoined from 
enforcing, which now allows manufacturers of intoxicating liquor to 
offer consumer rebate coupons and advertise of sales price below 
cost. This amendment further updates the regulation to reflect cur¬ 
rent trends in advertising, such as advertisements via the Internet, 
email, and text messages. Language regarding advertising that is 
duplicative of statute is eliminated, along with language that has 
become obsolete following the elimination of Chapter 312, RSMo, 
regarding nonintoxicating beer. Finally, this amendment revises the 
regulation to enhance clarity and remove unnecessary regulatory 
restrictions. 

(1) No person engaged in business as a producer, manufacturer, 
brewer, bottler, importer, wholesaler, or retailer of intoxicating 
liquor [or nonintoxicating beer], directly or indirectly, [shall] 
may publish or disseminate or cause to be published or disseminated 
[in any newspaper, magazine or similar publication] any adver¬ 
tisement of intoxicating liquor [or nonintoxicating beer], unless 
the advertisement is in conformity with the regulations. 

(A) These provisions [shall] do not apply to the publisher of any 
newspaper, magazine, or similar publication, unless the publisher is 
engaged in business as a producer, manufacturer, brewer, bottler, 
importer, wholesaler, or retailer of intoxicating liquor [or nonintox¬ 
icating beer], directly or indirectly. 

(2) The term advertisement includes any [advertisement] dissemi¬ 
nation of information by print, audio or video means, whether 
through the media or otherwise [of], including but not limited to, 
radio, television, motion pictures, newspapers, Internet, email, tex¬ 
ting, website, mobile applications, magazines or similar publica¬ 
tions [or any sign or outdoor billboard] or other printed or graph¬ 
ic matter, or any electronic means, except that the term shall not 
include: 

(A) Any label affixed to any container of intoxicating liquor [or 
nonintoxicating beer] or any individual covering, carton, or other 
wrapper of a container; and 


(B) Any editorial [or other reading matter] in any periodical or 
publication or newspaper for the preparation or publication of which 
no money or other valuable consideration is paid or promised, direct¬ 
ly or indirectly, by any person subject to these regulations. 

(3) Mandatory /S/statements/. / include: 

(A) [The advertiser shall state f/The name and address of the 
producer, manufacturer, bottler, brewer, importer, wholesaler, or 
retailer responsible for its publication/.7; 

(B) [The advertisement shall contain a] A conspicuous state¬ 
ment of the class and type or other designation of the product, cor¬ 
responding with the complete designation which appears on the 
brand label of the product/. /; 

(C) The alcoholic content [shall be] stated in the manner and 
form in which it appears on the labels of intoxicating liquor [or non¬ 
intoxicating beer] advertised/./; 

(D) In the case of distilled spirits (other than cordials, liqueurs and 
specialties) produced by blending or rectification, if neutral spirits 
have been used in the production of distilled spirits, [there shall be 
stated in the advertisement] the percentage of neutral spirits so 
used and the name of the commodity from which the neutral spirits 
have been distilled in substantially the manner and form in which 
these statements appear on the labels of the distilled spirits adver¬ 
tised. In the case of neutral spirits or of gin produced by a process 
of continuous distillation, [there shall be stated in the advertise¬ 
ment] the name of the commodity from which the neutral spirits or 
gin have been distilled substantially in the manner and form in which 
this statement appears on the labels of the distilled spirits adver¬ 
tised/./; 

(E) Where an advertisement does not mention a specific product 
but merely refers to a class of intoxicating liquor [or nonintoxicat¬ 
ing beer] (such as whiskey or beer) and the advertiser markets more 
than one (1) brand of intoxicating liquor [or nonintoxicating beer] 
of that class, or where the advertisement refers to several classes of 
intoxicating liquor [or nonintoxicating beer] (such as whiskey, 
brandy, rum, gin, liqueur, wine, beer, etc.) marketed under a single 
brand, the only mandatory information prescribed by section (1) 
applicable to advertisement would be the name and address of the 
responsible advertiser/./; and 

(F) Advertisements by retail establishments which merely refer to 
the availability of intoxicating liquor [or nonintoxicating beer] in 
these establishments, but which otherwise make no reference to a 
specific brand of intoxicating liquor [or nonintoxicating beer shall 
be] are subject only to the prohibited statements provisions of sec¬ 
tion (5) of this rule. 

(4) Statements required by these regulations to be stated in any writ¬ 
ten, printed, or graphic advertisement [shall] should appear in let¬ 
tering or type of a size, kind, and color sufficient to render them both 
conspicuous and readily legible. In particular— 

(B) [Required] Mandated information [shall] should be so stated 
as to appear to be a part of the advertisement and [shall] not be sep¬ 
arated in any manner from the remainder of the advertisement; 

(C) Where an advertisement relates to more than one (1) product, 
the [required] necessary information [shall] is to appear in a man¬ 
ner as to clearly indicate the particular products to which it is applic¬ 
able; and 

(D) [Required] No mandated information [shall not] may be 
buried or concealed in unrequired descriptive matter or decorative 
designs. 

(5) No advertisements of intoxicating liquor [or nonintoxicating 
beer shall] may contain: 

(E) Any statement, design, device or representation of or relating 
to any guarantee, irrespective of falsity, which is likely to mislead the 
consumer. Nothing in this subsection [shall prohibit] prevents the 
use of any enforceable guarantee in substantially the following form: 
“We will refund the purchase price to the purchaser if s/he is in any 



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Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


manner dissatisfied with the contents of this package”; 

(F) Any statement that the product is produced, blended, brewed, 
made, bottled, packaged, sold under or in accordance with any 
authorization, law or regulation of any municipality, county, state, 
federal or foreign government unless the statement is [required] nec¬ 
essary or specifically authorized by the laws or regulations of the 
government; and, if a municipality, county, state, or federal permit 
number is stated, the permit number shall not be accompanied by an 
additional statement relating to it; 

(G) Any statement offering any coupon, premium, prize, rebate, 
sales price below cost or discount as an inducement to purchase 
intoxicating liquor [or nonintoxicating beer] except, manufacturers 
of intoxicating liquor other than beer or wine shall be permitted to 
offer and advertise consumer cash rebate coupons and all manufac¬ 
turers of intoxicating liquor may offer and advertise coupons for non¬ 
alcoholic merchandise in accordance with section 311.355, RSMo; 

(H) Any statement offering free delivery or credit terms to con¬ 
sumers, as an inducement to purchase intoxicating liquor [or nonin¬ 
toxicating beer]\ and 

(6) [The] No advertisement [shall not] may contain any statement 
concerning a brand or lot of intoxicating liquor [or nonintoxicating 
beer] that is inconsistent with any statement on the labeling. 

(7) [The] No advertisement/’/ng' shall not] may contain any state¬ 
ment, design, or device representing that the use of any intoxicating 
liquor [or nonintoxicating beer] has curative or therapeutic effects 
or tending to create an impression that it [does have] has curative 
or therapeutic effects. 

(8) No advertisement [shall] may contain any statement, design, 
device, or pictorial representation of or relating to, or capable of 
being construed as relating to the armed forces of the United States 
or of the American flag, any state flag, or of any emblem, seal, 
insignia, or decoration associated with any such flag or the armed 
forces of the United States; nor [shall] may any advertisement con¬ 
taining any statement device, design or pictorial representation of or 
concerning any flag, seal, coat of arms, crest, or other insignia, like¬ 
ly to falsely lead the consumer to believe that the product has been 
endorsed, made or used by or produced for or under the supervision 
of or in accordance with the specifications of the government, orga¬ 
nization, family or individual with whom the flag, seal, coat of arms, 
crest, or insignia is associated. 

(9) [An] No advertisement for distilled spirits [shall not] may con¬ 
tain: 

(B) Any statement, design, or device, directly or by implication 
concerning age or maturity of any brand or lot of distilled spirits 
unless a statement of age appears on the labels of the advertised prod¬ 
uct. When any statement, design, or device concerning age or matu¬ 
rity is contained in any advertisement, it shall include (in direct con¬ 
junction with the advertisement and with substantially equal conspic¬ 
uousness) all parts of the statement concerning age and percentages, 
if any, which appear on the label. However, an advertisement for any 
whiskey or brandy, which does not bear a statement of age on the 
label or an advertisement for rum which is four (4) years or more 
old, may contain general inconspicuous age, maturity or other simi¬ 
lar representations, for example aged in wood, mellowed in fine oak 
cask; and 

(C) A representation that intoxicating liquor [or nonintoxicating 
beer] was manufactured in or imported from a place or country 
other than of its actual origin or was produced or processed by one 
who was not in fact the actual producer or processor. 

(10) [An a] No Advertisement for wine [shall not] may contain/;/— 

(A) Any statement of bonded winecellar or bonded winery num¬ 
bers unless stated in direct conjunction with the name and address of 
the person operating the winery or storeroom. Statement of bonded 


wineceller and bonded winery numbers may be made in the follow¬ 
ing form: "Bonded Winecellar No.. “Bonded Winery No . . . .,” 
“B.W.C. No . . . .,” or “B.W. No . . . .,” No additional reference 
to numbers shall be made, [n] or [shall] any use be made of a state¬ 
ment that may convey the impression that the wine has been made or 
matured under United States government or any state government 
supervision or in accordance with United States government or any 
state government specifications or standards/./; and 

(B) Any statement, design, device, or representation which relates 
to alcoholic content or which tends to create the impression that a 
wine is unfortified or has been fortified or has intoxicating qualities or 
contains distilled spirits except for a reference to distilled spirits in a 
statement of composition where the statement is required by these reg¬ 
ulations to appear as a part of the designation of the product. 

(11) No statement of age or representation relative to age (including 
words or devices in any brand name or mark) [shall] may be made, 
except that— 

(12) The statement of any bottling date [shall] is not [be] deemed to 
be a representation relative to age, if the statement appears without 
undue emphasis in the following form: “bottled in ....,” (inserting 
the year in which the wine was bottled). 

(13) No date, except as provided in this section and section (12) of 
this rule with respect to statement of vintage year and bottling date, 
[shall] may be stated unless, in addition to the year and date, and in 
direct conjunction with the year and date, in the same size and kind 
of printing [there shall be stated] an explanation of the signifi¬ 
cance of the date is stated. If any date refers to the date of establish¬ 
ment of any business, this date [shall] is to be stated without undue 
emphasis and in direct conjunction with the name of the person to 
whom it refers. 

(14) [The] No advertisement [shall not] may represent that the wine 
was manufactured in, or imported from, a place or country other 
than that of the actual origin or produced or processed by one who 
was not in fact the actual producer or processor. 

(15) No retail licensee [shall] may advertise for sale any brand of 
intoxicating liquor [or nonintoxicating beer] unless s/he has the 
particular brand and size of container or package of intoxicating 
liquor [or nonintoxicating beer] in his/her licensed premises for 
sale. 

(16) No wholesale licensee [shall] may allow any sign owned by 
him/her or advertising his/her product to be placed or allowed to 
remain on or upon any building unless the building has an occupant 
holding a license issued by the supervisor. 

(17) No wholesale or retail licensee [shall] may use any loudspeaker 
or public address system to advertise intoxicating liquor [or nonin¬ 
toxicating beer], 

(18) No producer, manufacturer, brewer, bottler, importer, or whole¬ 
saler of intoxicating liquor [or nonintoxicating beer shall] may 
advertise the retail price or suggested retail price of intoxicating 
liquor [or nonintoxicating beer], 

AUTHORITY: section 311.660, RSMo [1994] 2016. This version of 
rule filed Feb. 8, 1973, effective Feb. 18, 1973. Amended: Filed Dec. 
12, 1986, effective Feb. 28, 1987. Amended: Filed Jan. 22, 1996, 
effective July 30, 1996. Amended: Filed Feb. 27, 1998, effective Aug. 
30, 1998. Amended: Filed Jan. 17, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 789 


PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Division of Alcohol and Tobacco Control at 1738 East Elm Street, 
Lower Level in Jefferson City, MO 65101 or by facsimile at 573-526- 
4540, or via email at Karen.Dorton@dps.mo.gov. To be considered, 
comments must be received within thirty (30) days after publication of 
this notice in the Missouri Register. No public hearing is scheduled. 


Title 12—DEPARTMENT OF REVENUE 
Division 10—Director of Revenue 
Chapter 24—Driver License Bureau Rules 

PROPOSED RULE 

12 CSR 10-24.405 Proof of State of Domicile Requirements for 
Commercial Driver License Applicants 

PURPOSE: This rule clarifies what documents meet the requirements 
contained in 49 CFR section 383.71 (a) (2) (vi) and section 
383.71(b) (10), and will thus be accepted by the Department of 
Revenue for purposes of issuing a commercial driver’s instruction 
permit or commercial driver’s license. 

(1) As used herein and consistent with 49 CFR section 383.5, the fol¬ 
lowing words and phrases mean: 

(A) “State of domicile,” that state where a person has their true, 
fixed, and permanent home and principal residence and to which 
they have the intention of returning whenever they are absent; 

(B) “Commercial driver's instruction permit,” a commercial 
learner's permit issued to an individual by a state or other jurisdic¬ 
tion of domicile in accordance with the standards contained in 49 
CFR 383, which, when carried with a valid driver's license issued 
by the same state or jurisdiction, authorizes the individual to operate 
a class of commercial motor vehicle when accompanied by a holder 
of a valid commercial driver's license for purposes of behind-the- 
wheel training. When issued to a commercial driver's license hold¬ 
er, a commercial learner's permit serves as authorization for accom¬ 
panied behind-the-wheel training in a commercial motor vehicle for 
which the holder's current commercial driver's license is not valid; 
and 

(C) “Commercial driver’s license (CDL),” a license issued by the 
state of Missouri or another state of domicile in accordance with 49 
CFR 383 which authorizes the individual to operate a class of com¬ 
mercial motor vehicle. 

(2) For purposes of providing proof of state of domicile in accor¬ 
dance with 49 CFR section 383.71 (a)(2)(vi), 49 CFR section 
383.71(b)(10), and 49 CFR section 383.212, all applicants for a 
commercial driver's instruction permit under section 302.720, 
RSMo, or a commercial driver’s license under section 302.735, 
RSMo, shall present two (2) acceptable documents from two (2) dif¬ 
ferent issuing sources. Documents acceptable to verify state of domi¬ 
cile must contain the applicant’s name and address and must be the 
most recently issued credential. Acceptable documents for proof of 
state of domicile include the following: 

(A) Utility Bill; 

(B) Paycheck or Government Check; 

(C) Mortgage, Housing, or Leasing Document; 

(D) Tax Records; 

(E) Voter Registration Card; 

(F) Property Tax Receipt; 

(G) Bank Statement; 

(H) School or College Records; 

(I) Vehicle Insurance Policy; 

(J) Medical Record or Hospital Bill; and 


(K) Correspondence from Recognized Organizations, including 
other government-issued documents. 

(3) Applicants requesting a separate mailing address for a commer¬ 
cial driver’s instruction permit or commercial driver’s license must 
present one (1) additional document as proof of their mailing 
address. 

AUTHORITY: section 302.765, RSMo 2016. Original rule filed Jan. 
30, 2019. 

PUBLIC COST: This proposed ride will not cost state agencies or 
political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rule will not cost private entities 
more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rule with the Department 
of Revenue, General Counsel’s Office, PO Box 475, Jefferson City, 
MO 65105-0475. To be considered comments must be received within 
thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 10—Division of Finance and Administrative 
Services 

Chapter 3—Tax Credits 
PROPOSED RULE 
13 CSR 10-3.060 Diaper Bank Tax Credit 

PURPOSE: This rule describes the procedures for the implementa¬ 
tion of section 135.621, RSMo, Contributions to Diaper Bank Tax 
Credit. 

PUBLISHER’S NOTE: The secretary of state has determined that 
the publication of the entire text of the material which is incorporated 
by reference as a portion of this rule would be unduly cumbersome 
or expensive. This material as incorporated by reference in this rule 
shall be maintained by the agency at its headquarters and shall be 
made available to the public for inspection and copying at no more 
than the actual cost of reproduction. This note applies only to the ref¬ 
erence material. The entire text of the rule is printed here. 

(1) A diaper bank may apply for tax credits on behalf of taxpayers 
who make contributions to the agency. The amount of tax credit 
issued may be equivalent to up to fifty percent (50%) of the contri¬ 
bution to the agency. Initial credits issued cannot be less than fifty 
dollars ($50). The amount of credit claimed by a taxpayer cannot 
exceed the amount of the taxpayer's state tax liability for the taxable 
year the credit is claimed and cannot exceed fifty thousand dollars 
($50,000) per taxable year. The total amount of tax credits issued 
under this rule cannot exceed the amount stated in section 135.621, 
RSMo. in a fiscal year. 

(2) Definitions of terms. 

(A) “Director,” means the director of the Department of Social 
Services (DSS) or designee. 

(B) “Qualified diaper bank,” for the purpose of the Diaper Bank 
Tax Credit, means a diaper bank that meets the definition stated in 
section 135.621, RSMo. 

(3) Beginning July 1, 2019, the director will annually develop and 
maintain a list of centers which are qualified for the Diaper Bank Tax 
Credit. A copy of the diaper bank listing will be posted annually 
after July 1, 2019, on the Department of Social Services website: 
www.dss.mo.gov. 



Page 790 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


(4) Annually, the director of the Department of Social Services will 
determine which facilities in Missouri may be classified as diaper 
banks for purposes of the Diaper Bank Tax Credit. To be a qualified 
diaper bank for the purpose of the Diaper Bank Tax Credit, a facility 
must meet the definition set forth in section 135.621 RSMo. 

(A) In order for the director to make such determinations, diaper 
banks seeking qualification should submit the following information: 

1. A complete and accurate application. The process to be fol¬ 
lowed is found on the Diaper Bank Tax Credit Application for 
Agency Eligibility Verification form which is incorporated by refer¬ 
ence and made a part of this rule as published by the Department of 
Social Services, Division of Finance and Administrative Services, 
221 West High Street, Jefferson City, MO 65101, and is available on 
the DSS website at www.dss.mo.gov, or by writing to the address 
below. This does not incorporate any subsequent amendments or 
additions. 

Department of Social Services 
Attn: Diaper Bank Tax Credit Program 
PO Box 853 

Jefferson City, MO 65102-0853; 

2. A copy of the articles of incorporation; 

3. Verification of Internal Revenue Service (IRS) tax exempt 
status; and 

4. A brief program description including the primary business 
function as it relates to the mission of helping persons in need of dia¬ 
pers and hygiene products for infants, children, and incontinent 
adults, the number served annually, and a list of the schools, health 
care facilities, governmental agencies, or other non-profit entities 
which received diapers and hygiene products from the diaper bank in 
the last calendar year. 

(B) All information should be submitted to the address referenced 
in paragraph (4)(A)1. of this subsection. 

(5) All diaper banks must establish their eligibility for the Diaper 
Bank Tax Credit Program on a prospective basis by submitting an 
application for eligibility along with the required documentation as 
stated in subsection (4) (A) of this rule no later than June 1. 

(6) By August 1, the director will make a determination of qualifica¬ 
tion and notify the diaper bank of the determination in writing. 

(7) Qualified diaper banks must contact the Department of Social 
Services within thirty (30) days of any changes in business functions 
that could impact their qualifying status. The department will review 
the agency's eligibility for participation in this tax credit program 
and notify the agency of the determination in writing. 

(8) A qualified diaper bank shall report the receipt of any contribu¬ 
tion it believes qualifies for the tax credit on a form provided by the 
Department of Social Services. This form is known as the Diaper 
Bank Tax Credit Application for Claiming Tax Credits. 

(A) Diaper banks may request the tax credit application at the 
Department of Social Services website: www.dss.mo.gov or by writ¬ 
ing to the address referenced in paragraph (4)(A)1. of this rule. 

(B) Diaper banks are permitted to decline a contribution from a 
taxpayer. 

(C) The tax credit application shall be submitted to the 
Department of Social Services, by the diaper bank, within one (1) 
calendar year of the receipt of the contribution. Tax credit applica¬ 
tions submitted more than one (1) year following the date of the con¬ 
tribution will be void and the right to the tax credit will be forfeited. 

(D) Verifying documentation must be attached to the tax credit 
application when submitted by the diaper bank. The type of docu¬ 
mentation necessary will depend on the type of donation. Necessary 
documentation includes the following: 

1. Cash—legible receipt from the diaper bank, which indicates 
the name and address of the diaper bank; name, address, and tele¬ 
phone number of the contributor; amount of the cash donation and 


the date the contribution was received; and a signature of a represen¬ 
tative of the diaper bank receiving the contribution; 

2. Check—photocopy of the canceled check, front and back—if 
not possible then copy of the original check and a receipt from the 
diaper bank including the same information needed for a cash dona¬ 
tion as described in paragraph (8)(D)1.; 

3. Credit card—legible transaction receipt with the name and 
address of the diaper bank; name, address, and telephone number of 
the contributor; amount and date the contribution was received; and 
a signature of a representative of the diaper bank receiving the con¬ 
tribution. Receipts should have the credit card account number 
redacted; 

4. Money order or cashier’s check—legible copy of the original 
document with the name and address of the diaper bank; name, 
address, and telephone number of the contributor; amount of the 
cash donation, and the date the contribution was received; and a sig¬ 
nature of a representative of the diaper bank receiving the contribu¬ 
tion; 

5. Stocks and bonds—the amount of the contribution is the fair 
market value of the item as of the date of the donation. Information 
needed when submitting applications for tax credit shall include the 
source, date, and number of shares of stock which was donated, and 
confirmation documentation of the transfer from the contributor's 
account to the diaper bank; 

6. Real estate—the fair market value of the real estate within 
three (3) months prior to the date of the donation. The fair market 
value is the lower of at least two (2) qualified independent appraisals 
for commercial, vacant, or residential property that has been deter¬ 
mined to have a value of over fifty thousand dollars ($50,000). 
Commercial, vacant, or residential property having a value of fifty 
thousand dollars ($50,000) or less will require only one (1) 
appraisal. The appraisals will be conducted by two (2) different, 
licensed real estate appraisers; and 

7. Contributions that include a benefit to the donor—in addition 
to the documentation necessary in paragraphs (8)(D)l.-6., the diaper 
bank shall provide written documentation of the type of function or 
event from which the benefit was received, description of the benefit 
received (if an auction item, identify the item received), gross 
amount of the contribution, fair market value of the benefit, and how 
the fair market value of the benefit was determined. 

(9) The director will verily with the Department of Revenue any out¬ 
standing balances due from the taxpayer’s prior year’s state tax lia¬ 
bility. If a balance due is outstanding, the amount of tax credit issued 
under this rule will be reduced by that amount. The director is sub¬ 
ject to the confidentiality and penalty provisions of section 32.057, 
RSMo, relating to the disclosure of tax information. 

(10) Within forty-five (45) days of receipt of the tax credit applica¬ 
tion, the director will provide written notification of its decision to 
approve or deny the application to the following parties: 

(A) Taxpayer (notification to the taxpayer will include the amount 
of tax credit that was approved); and 

(B) Missouri Department of Revenue. 

(11) Each eligible diaper bank determination shall be final after 
receipt of written notice from the DSS, unless the diaper bank files 
a protest with the director setting forth the grounds on which the 
protest is based, within thirty (30) days from the date of receipt of 
written notice from the DSS to the diaper bank. If a timely protest is 
filed, the director shall reconsider the determination the diaper bank 
has so requested. The director shall issue a final decision within 
forty-five (45) days of protest from the diaper bank. 

(12) The director shall equally apportion the total available tax cred¬ 
its among all qualified diaper banks, and the apportionment will be 
effective the first day of each state fiscal year (FY). 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 791 


(A) The director shall inform each qualified diaper bank of its 
share of the apportioned credits no later than thirty (30) days follow¬ 
ing July 1 of each fiscal year. 

(B) The director will, no less than quarterly, review the cumulative 
amount of apportioned tax credits being utilized by each qualified 
diaper bank. Upon request by the director, diaper banks will provide 
in writing the amount their agency plans to utilize in tax credits for 
the fiscal year along with supporting documentation. Diaper banks 
seeking additional apportionment shall submit requests and support¬ 
ing documentation to the director in writing. If a diaper bank fails to 
use all or a portion of their available tax credits throughout the fiscal 
year, the director may reapportion any unused tax credits to maxi¬ 
mize the amount of tax credits available to taxpayers. 

(C) Within thirty (30) days of any reapportionment, the director 
shall notify those diaper banks in writing that would be affected by 
the reapportioned tax credit. The director will consider comments 
the diaper banks submit concerning planned future uses of the 
agency’s tax credit allocation prior to the end of the thirty (30) day 
period. The director’s decision regarding reapportionment shall be 
final. 

AUTHORITY: section 660.017, RSMo 2016, and section 135.621, 
RSMo Supp. 2018. Original rule filed Feb. 1, 2019. 

PUBLIC COST: This proposed rule will not cost state agencies or 
political subdivisions more than ($500) in the aggregate. 

PRIVATE COST: This proposed rule will not cost private entities 
more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rule with the Department 
of Social Services, Legal Services Division-Rulemaking, PO Box 
1527, Jefferson City, MO 65102-1527, or by email to 
Rules.Comment@dss.mo.gov. To be considered, comments must be 
received within thirty (30) days after publication of this notice in the 
Missouri Register. No public hearing is scheduled. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 10—Division of Finance and Administrative 
Services 

Chapter 3—Tax Credits 
PROPOSED RULE 

13 CSR 10-3.070 Unmet Health, Hunger, and Hygiene Needs of 
Children In School Tax Credit 

PURPOSE: This rule describes procedures for the implementation of 
section 135.1125, RSMo, to provide a tax credit for finding for unmet 
health, hunger, and hygiene needs of children in school. 

PUBLISHER’S NOTE: The secretary of state has determined that 
the publication of the entire text of the material which is incorporated 
by reference as a portion of this rule would be unduly cumbersome 
or expensive. This material as incorporated by reference in this rule 
shall be maintained by the agency at its headquarters and shall be 
made available to the public for inspection and copying at no more 
than the actual cost of reproduction. This note applies only to the ref¬ 
erence material. The entire text of the rule is printed here. 

(1) An eligible provider may apply for tax credits on behalf of tax¬ 
payers who make donations to the provider as provided herein. Those 
who donate to qualifying providers are eligible to receive a tax credit 
up to fifty percent (50%) of their donation. Qualified health, hunger, 
and hygiene providers that accept these donations are required to 
remit payments equivalent to the amount of the tax credit to the state 


of Missouri. 

(2) Definitions of terms. 

(A) “Director,” means the director of the Department of Social 
Services (DSS) or designee. 

(B) “Eligible donation,” means a donation that meets the defini¬ 
tion stated in section 135.1125, RSMo. 

(C) “Eligible provider,” means a provider that meets the definition 
stated in section 135.1125, RSMo. 

(D) “Taxpayer,” means a person or entity that meets the definition 
stated in section 135.1125, RSMo. 

(3) An application for the Unmet Health, Hunger, and Hygiene 
Needs of Children In School Tax Credit must be submitted by an eli¬ 
gible provider on behalf of a taxpayer. Acceptable applications for 
the tax credit require— 

(A) A complete and accurate Unmet Health, Hunger, and Hygiene 
Needs of Children In School Tax Credit Application. Applications 
which are incorporated by reference and made a part of this rule as 
published by the Department of Social Services, Division of Finance 
and Administrative Services, 221 West High Street, Jefferson City, MO 
65101, at its website: www.dss.mo.gov/dfas/taxcredit/index.htm, or 
by writing to the address below. This does not incorporate any sub¬ 
sequent amendments or additions. 

Department of Social Services 
Attn: Unmet Health, Hunger, and Hygiene Needs of 
Children In School Tax Credit 
PO Box 853 

Jefferson City, MO 65102-0853; 

(B) A statement attesting to the receipt of an eligible donation, 
which includes the following information: 

1. Taxpayer type and supporting documentation; 

2. Taxpayer’s name; 

3. Taxpayer’s identification number; 

4. Amount of the eligible donation and verifying documenta¬ 
tion, when applicable; 

5. Amount of anticipated tax credit; 

6. Date the donation was received by the eligible provider; and 

7. The signature of the executive director of the eligible 
provider; 

(C) Payment from the eligible provider in an amount equal to fifty 
percent (50%) of the eligible donation for which the tax credit is 
being submitted. For example, if the donation was for one hundred 
dollars ($100) the payment is fifty dollars ($50). Checks from the eli¬ 
gible provider must be made payable to the Department of Social 
Services; 

(D) Verifying documentation must be attached to the tax credit 
application. The type of documentation required will depend on the 
type of donation. Verifying documentation includes the following: 

1. Cash—legible receipt from the health, hunger, and hygiene 
provider which indicates the name and address of the organization; 
name, address, and telephone number of the contributor; and amount 
of the cash donation and date the contribution was received; signa¬ 
ture of a representative of the health, hunger, and hygiene provider 
receiving the contribution; 

2. Check—photocopy of the canceled check, front and back—if 
not possible then copy of the original check and a receipt from the 
health, hunger, and hygiene provider including the same information 
required of a cash donation as described in paragraph (2)(D)1. of this 
rule; 

3. Credit card—legible transaction receipt with the name and 
address of the health, hunger, and hygiene provider; contributor’s 
name, address, and telephone number; amount and date the contri¬ 
bution was received; and signature of a representative of the health, 
hunger, and hygiene provider receiving the contribution. Receipts 
should have the credit card account number redacted; 

4. Money order or cashier’s check—legible copy of the original 



Page 792 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


document with the name and address of the health, hunger, and 
hygiene care provider; contributor’s name, address, and telephone 
number; amount and date the contribution was received; and signa¬ 
ture of a representative of the health, hunger, and hygiene provider 
receiving the contribution; 

5. Stocks and bonds—the amount of the contribution is the fair 
market value of the item as of the date of the donation. Information 
required when submitting applications for tax credit shall include the 
source, date, and the number of shares of the stock which was donat¬ 
ed; 

6. Real estate—the fair market value of the real estate within 
three (3) months prior to the date of the donation. The fair market 
value is the lower of at least two (2) qualified independent appraisals 
for commercial, vacant, or residential property that has been deter¬ 
mined to have a value of over fifty thousand dollars ($50,000). 
Commercial, vacant, or residential property having a value of fifty 
thousand dollars ($50,000) or less will require only one (1) 
appraisal. The appraisals will be conducted by two (2) different 
licensed real estate appraisers; and 

7. Contributions that include a benefit to the donor—in addition 
to the documentation needed in paragraphs (3)(D)l.-6., the eligible 
provider must provide written documentation of the type of function 
or event from which the benefit was received, description of the ben¬ 
efit received (if an auction item, identify the item received), gross 
amount of the contribution, fair market value of the benefit, and how 
the fair market value of the benefit was determined; 

(E) A statement describing how the eligible provider provides 
funding for unmet health, hunger, and hygiene needs of children in 
school; and 

(F) Verification of the eligible provider’s federal tax-exempt status. 

(4) All applications and payments must be submitted within twelve 
(12) months from the date the eligible donation was received from 
the taxpayer. The date of submission will be determined by the date 
that the application and payment are postmarked. Tax credit applica¬ 
tions submitted more than one (1) year following the date of the con¬ 
tribution will be void, and the right to the tax credit will be forfeited. 

(5) Information required in section (3) of this rule must be submitted 
to the address referenced in subsection (3)(A). 

(6) Upon receipt of the information required in subsection (3)(B), the 
Department of Social Services will verify with the Department of 
Revenue whether or not the taxpayer has any outstanding balances 
due from the taxpayer’s prior year’s state tax liability. If a balance 
due is outstanding, the amount of tax credit issued under this rule 
will be reduced by that amount. The director of the Department of 
Social Services is subject to the confidentiality and penalty provi¬ 
sions of section 32.057, RSMo, relating to the disclosure of tax 
information. 

(7) Upon verification of the information required in section (3) of this 
rule, the DSS will issue a certificate to the taxpayer indicating the 
amount of tax credit that is approved for the application. 

(A) Certificates will be mailed to the taxpayer at the address pro¬ 
vided on the application submitted by the qualified health, hunger, 
and hygiene provider. 

(B) The DSS will not provide information regarding taxpayers" 
state tax liability to unauthorized individuals. 

(C) In the event a taxpayer's tax credit is reduced as a result of 
delinquent taxes, a refund will not be issued to the health, hunger, 
and hygiene provider. 

(8) Approved tax credit certificates will be issued within forty-five 
(45) days of receipt of the completed application submitted by the 
qualified health, hunger, and hygiene provider. 


determination shall be final after receipt of written notice from the 
DSS, unless the unmet health, hunger, and hygiene needs provider 
files a protest with the director setting forth the grounds on which the 
protest is based, within thirty (30) days from the date of receipt of 
written notice from the DSS to the unmet health, hunger, and 
hygiene needs provider. If a timely protest is filed, the director shall 
reconsider the determination the unmet health, hunger, and hygiene 
needs provider has so requested. The director shall issue a final deci¬ 
sion within forty-five (45) days of protest from the unmet health, 
hunger, and hygiene needs provider. 

(10) The owner of a health, hunger, and hygiene provider tax credit 
certificate must notify the DSS within thirty (30) days of the date of 
the transaction to assign, transfer, sell, or convey the credit. 
Information submitted to effectuate such a transfer must include a 
complete and accurate DSS Tax Credit Transfer Form. Forms may 
be obtained by writing to the address provided in subsection (3)(A) 
of this rule or at the Department of Social Services website: 
w w w. dss. mo. gov/dfas/taxcredit/index. htm. 

AUTHORITY: section 660.017, RSMo 2016, and section 135.1125, 
RSMo Supp. 2018. Original ride filed Feb. 1, 2019. 

PUBLIC COST: This proposed rule will not cost state agencies or 
political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rule will not cost private entities 
more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rule with the Department 
of Social Services, Legal Services Division-Rulemaking, PO Box 
1527, Jefferson City, MO 65102-1527, or by email to 
Rides.Comment@dss.mo.gov. To be considered, comments must be 
received within thirty (30) days after publication of this notice in the 
Missouri Register. No public hearing is scheduled. 


Title 15—ELECTED OFFICIALS 
Division 40—State Auditor 
Chapter 3—Rules Applying to Political Subdivisions 

PROPOSED AMENDMENT 

15 CSR 40-3.125 Calculation and Revision of Property Tax Rates 
by School Districts. The State Auditor's office is replacing Form A, 
Form C, and Informational Data form referenced in section (2) and 
replacing Form A, Form C, Informational Form A, and Form G ref¬ 
erenced in section (3). 

PURPOSE: This amendment updates the forms and calculations used 
by school districts to calculate and revise their property tax rate 
under section 137.073, RSMo. Under the Missouri Constitution, 
Article X, Section 22, and section 137.073, RSMo, school districts 
must calculate their annual tax rate ceilings and submit them to the 
Missouri State Auditor’s Office. This amendment updates Form A, 
Form C, and Informational Data form referenced in section (2) and 
Form A, Form C, and Informational Form A referenced in section (3) 
to comply with the amendments to Section 164.011, RSMo, passed in 
2018. This amendment also incorporates changes to recoupment 
form, Form G referenced in section (3), with corresponding instruc¬ 
tions. 


(9) Each eligible unmet health, hunger, and hygiene needs provider 



March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 793 



PRO FORMA - STATE AUDITOR'S REVIEW OF DATA SUBMITTED 
Form A 

For School Districts Levying a Single Rale on All Property 


(29_) 


Name of Political Subdivision Political Subdivision Code Purpose of Levy 

Tbe final version of this form MUST be sent to the county clerk. 

Computation of reassessment growth and rate for compliance with Article X, Section 22, and Section 137.073, RSMo. 


1. (20_) Current year assessed valuation 

Include the current locally assessed valuation obtained from the county clerk, county assessor, or comparable office finalized by the 
local board of equalization. 

(a) + 0>) 


(Real Estate) (Personal Property) 

2. Assessed valuation of new construction & improvements 
2(a) - Obtained from the county clerk or county assessor 

2(b) - Increase in personal property, use tbe formula listed under Line 2(b) 

(a)_ + (b)_ 

(Rea! Estate) Line fib) - 3(b) - 5(b) + 6(b) + 7(b) 

If Line 2b is negative, enter zero 

3. Assessed value of newly added territory 
obtained from the county clerk or county assessor 

(a) + (b) 


(Total) 


(Total) 


(Real Estate) (Personal Property) (Total) 

4. Adjusted current year assessed valuation 
(Line 1 total - Line 2 total * Line 3 total) 


5. (20_) Prior year assessed valuation 

Include prior year locally assessed valuation obtained from the county clerk, county assessor, or comparable office finalized by the local 
board of equalization. 

NOTE: If this is different than the amount on the prior year Form A, Line 1, then revise the prior year tax rate form to recalculate the 
prior year tax rate ceiling. Enter the revised prior year tax rate ceiling on this year's Summary' Page, Line A. 

(a)_ + (b)_ = _ 

(Real Estate) (Personal Property ) (Total) 

6. Assessed value of newly separated territory 
obtained from the county clerk or county assessor 

W_ + (b)_ = _ 

(Real Estate) (Personal Property) (Total) 


7. Assessed value of property locally assessed in prior year, but state assessed in current year 
obtained from the county clerk or county assessor 


(a) 


+ 

(b) 



(Real Estate) 



(Personal Property) 


8. Adjusted prior year assessed valuation 
(Line 5 total - Line 6 total - Line 7 total) 


(Total) 


(Form Revised 12-2018) 


Form A, Page 1 of 2 



Page 794 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


PRO FORMA - STATE AUDITOR'S REVIEW OF DATA SUBMITTED 

Form A (20_) 

For School Districts Levying a Single Rate on All Property 


Name of Political Subdivision Political Subdivision Code Purpose of Levy 

The final version of this form MUST be sent to the county clerk. 

Computation of reassessment growth and rate for compliance with Article X, Section 22, and Section 137.073, RSMo. 

Information on this page takes into consideration any voluntary reduction(s) taken in previous even numbered yeaifs) If in an even numbered 
year, the political subdivision wishes to no longer use the lowered tax rate ceiling to calculate its tax rate, it can hold a public hearing and pass a 
resolution, a policy statement or an ordinance justifying its action prior to setting and certifying its tax rate. The information in the 
Informational Data, at the end of these forms, provides the rate that would be allowed had there been no previous voluntary reductions) taken 
in an even numbered year(s) 

9. Percentage increase in adjusted valuation of existing property in the current year over the prior year's 
assessed valuation 
(Line 4 - Line 8 i Line 8 x 100) 

10. Increase in Consumer Price Index (CPI) certified by the State Tax Commission 

11. Adjusted prior year assessed valuation (Line 8) 

12. (20_) Tar rate ceiling from prior year (Summary Page, Line A) 

13. Maximum prior year adjusted revenue from locally assessed property that existed in both years 
(Line 11 x Line. 12 / 100) 

14. Maximum prior year revenue from state assessed property before reductions, 
provided by the Department of Elementary & Secondary Education (DESE) 

15. Total adjusted prior year revenue (Line 13 + Line 14) 

16. Permitted reassessment revenue growth 

The percentage entered on Line 16 should be the lower of the actual growth (Line 9), the CPI (Line 10), or 
5%. A negative figure on Line 9 is treated as a 0 for Line 16 purposes. Do not enter less than 0 or more than 
5%. 

17. Additional revenue permitted (Line 15 x Line 16) 

18. Total revenue permitted in current year 

from property that existed in both years (Tune 15 + Line 17) 

19. Estimated current year revenue from state assessed property before reductions 
The school district should use its best estimate, (i.e. same amount as Line 14, current year's Line 14 
multiplied by the percentage increase in state assessed valuation per the State Tax Commission, or using the 
best educated guess) If this amount declines substantially from the amount on Line 14, please provide written 
documentation to explain the reasons for such difference. 

19a. New construction and improvements (Line 19 - Line 14, if negative enter 0) 

19b. Adjusted estimated current year revenue from state assessed property before reductions 
(Line 19 - Line 19a) 

20. Total revenue permitted in current year from existing locally assessed property * 

(Line 18 - Line 19b) 

21. Adjusted current year assessed valuation (Line 4) 

22. Maximum tax rate permitted by Article X, Section 22, and Section 137.073, RSMo 

(Line 20 / Line 21 x 100) 

Round a fraction to the nearest one/one hundredth of a cent. 

Enter this rate on the Summary Page, Line B. 

* To compute the total property tax revenues hilled for the current year (including revenues from all new construction and improvements and annexed 
property), multiply Line 1 by the rate on Line 22 and divide by 100. The property lax revenues billed would be u3cd in estimating budgeted revenues. 


For Political 
Subdivision Use in 
Calculating its 

Tav R af 



(Form Revised 12-2018) 


Form A, Page 2 of 2 



March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 795 


PRO FORMA - STATE AUDITOR’S REVIEW OF DATA SUBMITTED 

Form C (20_) 

For School Districts Levying a Single Rate on AH Property 


Name of Political Subdivision Political Subdivision Code Purpose of Levy 

The final version of this form MUST be sent to the county clerk. 

Debt Service Calculation for General Obligation Bonds Paid for with Property Taxes 

The tax rate for debt service will be considered valid if, after making the payment(s) for which the tax was levied, the bonds 
remain outstanding, and the debt fund reserves do not exceed the following year's payments. 

Since the property taxes are levied and collected on a calendar year basis (January - December), it is recommended that this levy 
be computed using calendar year data. 

1. Total current year assessed valuation obtained from the county clerk or county assessor 

(Form A, Line 1 total) _ 

2. Amount required to pay debt strive requirements during the nest calendar year 

(i.e. Assuming the current year is year 1, use January - December year 2 payments to complete 

the year 1 Form C) Include the principal and interest payments due on outstanding general 

obligation bond issues plus anticipated fees of any transfer agent or paying agent due during the 

next calendar year. - 

3. Estimated costs of collection and anticipated delinquencies (i.e. collector fees & 
commissions & assessment fund withholdings) 

Experience in prior years is the best guide for estimating uncollectible taxes. 

It is usually 2% to 10% of Line 2 above. _ 

4. Reasonable reserve up to one year’s payment 

(i.e. Assuming the current year is year 1, use January - December year 3 payments to complete 
the year 1 Form C) It is important that the debt service fund have sufficient reserves to prevent 
any default on the bonds. 

Include payments for the year following the next calendar year, accounted for on Line 2. -- 

5. Total required for debt service (Line 2 + Line 3 + Line 4) __ 

6. Anticipated balance at end of current calendar year 

Show the anticipated bank or fund balance at December 31 st of this year (this will equal the 

current balance minus the amount of any principal or interest due before December 31st plus any 

estimated investment earning due before December 31st). Do not add the anticipated collections 

of this tax into this amount. _ 

7. Property tax revenue required for debt service (Line 5 - Line 6) 

Line 6 is subtracted from Line 5 because, the debt service fund is only allowed to have the 
payments required for the next calendar year (Line 2) and the reasonable reserve of the following 
year’s payment (Line 4). Any current balance in the fund is already available to meet these 

requirements so it is deducted from the total revenues required for debt service purposes.- 

8. Estimated revenue from state assessed property for debt service for the next calendar year 
(January - December) - must be estimated by the school district. In most instances a good 
estimate would be the same amount as the state assessed revenues actually placed in the debt 

service fund in the prior year, - 

8a. New construction and improvements (Line 8 - Form A Line 14, if negative enter 0) _ 

8b. Adjusted estimated current year revenue from state assessed property' before reductions 
(Line 8 - Line 8a) 

9. Revenue required from locally assessed property for debt service (Line 7 - Line 8b) - 

10. Computation of debt service tax rate (Line 9 / Line 1 x 100) 

Round a fraction to the nearest one/onc hundredth of a cent. - 

11. Less voluntary reduction by school district -- 

12. Actual rate to be levied for debt service purposes * (Line 10 - Line 11) 

Enter this rate on Line AA of the Summary Page - 

* The tax rate levied may be lower than the rate computed as long as adequate funds are available 
to service the debt requirements. 



(Form Revised 12-2018) 


Form C 




Page 796 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


' PRO FORMA - STATE AUDITOR'S REVIEW OF DATA SUBMITTED 

Informational Data (20 _) 

For School Districts Levying a Single Rate on All Property 


Name of Political Subdivision Political Subdivision Code Purpose of Levy 

I This page shows the information that would have been on the line items for the Summary Page, Form A, and/or Form B had no voluntary reductions) 
been taken in prior even numbered year(s). The information on this page should not be used in the current year unless the taxing authority wishes to 
reverse any voluntary' reduction^) taken in prior ever numbered ycatfs) and follows the following steps in an even numbered year 

Step I The governing body should hold a public hearing and adopt a resolution, a policy statement, or an ordinance justifying its action prior to 
setting and certifying its tax rate. 

Step 2 Submit a copy' of the resolution, policy statement, or ordinance to the State Auditor's Office for review. 

Informational Summary Pag e 

A. Prior year tax rate ceiling (Prior year Informational Summary Page, Line F) 

B. Current year rate computed (Informational Form A, I .ine 22 below) 

C. Amount of increase authorized by voters for current year (Informational Form B, Line 16 below) 

D. Rate to compare to maximum authorized levy (Line B if no election, otherwise Line C) 

E. Maximum authorized levy Greater of the 1984 rate or most recent voter approved rate 

F. Tai rate ceiling if no voluntary reductions were taken in a prior even numbered year (Lower of Lire Dor E) 

Informational Form A 

9. Percentage increase in adjusted valuation (Form A, Line 4 - Line 8 / Line 8 x 100) 

10. Increase in Consumer Price Index (CPI) certified by the State Tax Commission 

11. Adjusted prior year assessed valuation (Form A, Line 8) 

12. (20_) Tax rate ceiling from prior year (Informational Summary Page, Line A from above) 

I 13. Maximum prior year adjusted revenue from locally assessed property that existed in both years 
(Line 11 x Line 12/100) 

14. Maximum prior year adjusted revenue from state assessed property before reductions, provided by DESE 

15. Total adjusted prior year revenue (Line 13 + Line 14) 

16. Permitted reassessment revenue growth 

The percentage entered on Line 16 should be the lower of the actual growth (Line 9), the CPI (Line ! 0), or 5%, 

A negative figure on Line 9 is treated as a 0 for Line 16 purposes. Do not enter less than 0, nor more than 5%. 

17. Additional reassessment revenue permitted (Line T5 x Line 16) 

18. Total revenue permitted in current year from property that existed in both years (Line 15 ■+ Line 17) 

19. Estimated current year revenue from state assessed property before reductions, estimated by school district 
19a. New construction and improvements (Line 19 - Line 14, if negative enter 0) 

I9b. Adjusted estimated current year revenue from state assessed property before reductions (Line 19 - Line 19a) 

20. Revenue permitted from existing locally assessed property (Line 18 - Line 19b) 

21. Adjusted current year assessed valuation (Form A, Line 4) 

22. Maximum tax rate permitted by Article X, Section 22, and Section 137.073, RSMo, if no voluntary reduction was 
taken (Line 20 / Line 21 x 100) 

Informational Form B 

7. Prior year tax rate ceiling to apply voter approved increase to 

(Informational Summary Page, Line A if increase to an existing rate, otherwise 0) 

8. Voter approved increased tax rate to adjust 

(If an 11 increase of/by ' ballot, Form B, Line 6a + Line 7, if an "increase to" ballot. Form B, Line 6b) 

9. Adjusted prior year assessed valuation (Form A, Line 8) 

10. Maximum prior year adjusted revenue from property that existed in both years (l ine 8 x Line 9 /100) 

11. Consumer Price Index (CPI) certified by the State Tax Commission 

12. Permitted revenue growth for CPI (Line lOx Line 11) 

13. Total revenue allowed from the additional voter approved increase from property that existed in both years 
(Line 10 + Line 12) 

14. Adjusted current year assessed valuation (Form A. Line 4) 

15. Adjusted voter approved increased tax rate (Line J 3 / Line 14 x 100) 

16. Amount of rate increase authorized by voters for the current year (If Line 8 > Line 15, then Line 8. otherwise, Line 15) 


Based on Prior 
Year Tax Rate 
Ceiling as if No 
Voluntary' 
Reductions 
were Taken 



(Form Revised 12-2018) 


Informational Data 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 797 


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PRO FORMA - STATE AUDITOR'S REVIEW OF DATA SUBMITTED 

Form A (20 _) 

Far School Districts Calculating a Separate Rate on Each Subclass of Property 


Page 798 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


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March 1, 2019 
Yol. 44, No. 5 


Page 799 


Missouri Register 




-14. Relative ratio of current year adjusted assessed valuation of the 
rates being revised (Line 33 / Line 33 total) 

35. Revision to rate (IfLine 32 > 0, then -Line 34 x Line 31 / Lire 5 x 100 (limited to - Line 32), otherwise 0) 




Page 800 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 





March 1, 2019 

Yol. 44 , No. 5 _Missouri Register_ Page 801 


PRO FORMA - STATE AUDITOR'S REVIEW OF DATA SUBMITTED 

Form C _) 

For School Districts Calculating a Separate Rate on Each Subclass of Property 


Name of Political Subdivision Political Subdivision Code Purpose of Levy 

The final version of this form MUST be sent to the county clerk. 

Debt Service Calculation for General Obligation Bonds Paid for with Property Taxes 

The tax rate for debt service will be considered valid if, after making the payments) for which the tax was levied, the bonds remain 
outstanding, and the debt fund reserves do not exceed the following year's payments. 

Since the property taxes are ievied and collected on a calendar year basis (January - December), it is recommended that this levy be computed 
!using calendar year data. 

1. Total current year assessed valuation obtained from the county clerk or county assessor 
(Form A, Line I total) 

2. Amount required to pay debt service requirements during the next calendar year 

(i.e. Assuming the current year is year 1, use January - December year 2 payments to complete 
the year 1 Form C) Include the principal and interest payments due on outstanding general 
obligation bond issues plus anticipated fees of any transfer agency or paying agent due during the 

next calendar year. _ 

3. Estimated costs of collection and anticipated delinquencies (i.e. collector fees aod 

! commissions and assessment fund withholdings) 

Experience in prior years is die best guide for estimating uncollectible taxes. 

It is 2% to 10% of Line 2 above. 

4. Reasonable reserve up to one year's payment 

(i.e. Assuming the current year is year 1, use January - December year 3 payments to complete the 
year 1 Form C) It is important that the debt service fund have sufficient reserves to prevent any 
default on the bonds. Include payments for the year following the next calendaryear, accounted 

for on Line 2. _ 

5. Total required for debt service (Line 2 + Line 3 + Line 4) 

6. Anticipated balance at end of current calendar year 

Show the anticipated bank or fund balance at December 31st of this year (this will equal the 

current balance minus the amountof any principal or interest due before December 31st plus any 

estimated investment earnings due before December 31 st). Do not add the anticipated collections 

of this tax into this amount. __ 

7. Property tax revenue required for debt service (Line 5 - Line 6) 

Line 6 is subtracted from Line 5 because the debt service fund is only allowed to have the 
payments required for the next calendar year (Line 2) and the reasonable reserve of the following 
year’s payments (Line 4). Any current balance in the fund is already available to meet these 
requirements, so it is deducted from the total revenues required for debt service purposes. 

8. Estimated revenue from state assessed property for debt service for the next calendar year 
(January - December) - must be estimated by the school district. In most instances a good 
estimate would be the same amount as the state assessed revenues actually placed in the debt 

service fund in the prior year. _ 

8a. New construction and improvements (Line 8 - Form A Line 16, if negative enter 0) _ 

8b. Adjusted estimated current year revenue from state assessed property before reductions 

(Line 8 - Line 8a) - 

9. Revenue required from locally assessed property for debt service (Line 7 - Line 8b) _ 

10. Computation of debt service tax rate (Line 9 / Line 1 x 100) 

Round a fraction to the nearest one/one hundredth of a cent. - 

11. Less voluntary reduction by political subdivision - 

12. Actual rate to be levied for debt service purposes * (Line 10 - Line 11) 

Enter this rate on the Summary Page, Line AA _ 

* The tax rate levied may be lower than the rate computed as long as adequate funds are available 

to service the debt requirements. ____._ 



(Form Revised 12-2018) 


Form C 




- STATE AUDITOR’S REVIEW OF DATA SUBMITTED 


Page 802 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 




- STATE AUDITOR’S REVIEW OF DATA SUBMITTED 


March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 803 







Page 805 


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58. Adjusted levy (Line 53 - Line 57) 

59. Assessed valuation (Line 1) ™~ ' " “~ 

50. Revenue from adjusted levy (Line 58 ,x Line 59 /100) 

51. Blended tan rate from the adjusted levy to report on DESE Screen 6 (Line 60 / Line 59 x 100) 






March 1, 2019 
Yol. 44 , No. 5 


Missouri Register 


Page 807 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 13 7.0 73.3(2 )(a) and (b)RSMo 

For School Districts With a Separate Rate on Each Subclass of Property 


Name cf School District 


School District Code 


Purpose of Levy 


Real Estate __ 

Residential __Agricultural Commercial Personal Property _ Total 


> ear 20 — - Complete lines 1 through 1_6 fur the third prior year (if applicable). Make a copy of this section for calculating a recoupment of the fourth or older prior vearfsk 

1. Revised Locally assessed valuatio o after the changes io 20_ 

tax rates have been made (Revised Form A, Line 1) ___ 


2. Revised tax rate ceiling after the revision to the assessed 
valuation was made (Revised Summary Page, Line F) 


3. Revised permissible local assessed tax revenue 
((Line 1 x Line 2yi00) 


4. Original tax rate ceiling (Certified) (Original Summary 
Page, Line F) 


5. Total locaUv assessed tax revenue actusUy produced 

((Line 1 x Line 4yi00) 


6. Keveo ue loss d ue to I oca I assessment reduetiu □ 
(Line 3 - Line 5) 


7. Estimated lost revenue from State assessed property due 
to revised rates or state assessment reductions 

This amount must be estimated by the district 


8. Total lost revenue to be recouped (Line 6 + Line 7) 

If there are no negative values, copy Line 8 values to Line 16 
and skip Lines 9-15. 


9. Additional revenue that was received (Pull down negative 
values from Line 8) 


10. Revised locally assessed valuation if Line 8 > 0 (Line 1 if 
Line 8 > 0) 


11. Relative ratio of Uue 10 ratio of assessed valuation of each 
subclass to the total (Line 10/Line 10 tola!) 


12. Allocate the difference on Line 8 h«ed on the relative ratio 
on Line 11 (Line 9 x Line 11) 


13. Adjusted lost revenue (Line 8 t Line 12) 

If there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps. 

If there is a negative values) and there is stilt a positive values) 
in another subclasses) lo allocate the remaining negative values 
they should be allocated using the relative ratio process again. 

If there arc only positive values remaining, copy Line 13 values 
to Line 16 and skip Lines 14-15. 


14 Relative ratio of Lioe 9 
(Line 9/Line 9 total) 


15 Allocate (be difference on Line 13 (only if all of Line 13 
values are negative) based on the relative ratio on Line 14 
(Line 13 total x Line 14) Copy Line 15 values to Line 16 


] 6. Total lost revenue allowed to be recouped 


Form (J, Page 2 of 5 



Page 808 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section l37.0?3J(2Xa)and (b) RSMo 

For School Districts With a Separate Rate on Each Subclass of Property 


Name of School District 


School District Code 


Purpose of Levy 


_ Real Estate _ 

Residential _ Agricultural Commercial _ Personal Property _ Total 


Year 20 - Complete tines 17 through 32 for the second prior year fit a noli cable). 


17. Revised locally assessed valuation after the changes to 20_ 

tax rates have been made (Revised Form A, Line 1) 

18. Revised tax rate ceiling after the revision to the assessed 
valuation was made (Revised Summary Page, Line F) 

19. Revised perm issible local assessed ta i revenue 

((Line 17 x Line 18yiOO> 

20. Original tai rate ceiling (Certified) (Original Summary 

Tags, Line F) 

21. Total locally assessed tax revenue actually produced 

((Line 17 x Line 20yi00) 

22. Revenue Joss due to local assessment reduction 

(Line J9-Line21) 

23. Estimated lost revenue from state assessed property due 
to revised rates or state assessment reductions 

This amount must be estimated by the district. 

24. Total lost revenue to be recouped (Line 22 + Line 23) 

If there are nc negative values, copy Line 24 values to Line 32 
and skip Lines 25-31. 

25. Additional revenue that was received (Pull down negative 
values from Line 24) 

26. Revised locally assessed valuation if Line 24 > 0 (Line 17 if 
Line 24 > 0) 

27. Relative ratio of Line 20 ratio of assessed valuation of each 
subclass to the total (Line 26/Linc 26 total) 

2 8. Allocate the d itferencc on Line 24 based o n the relative ratio 
on Line 27 (Line 25 x Line 27) 

29 Adjusted lost revenue (Line 24 + Line 28) 

If there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps. 

If there is a negative valuc(s) and there is still a positive valutas) 
in another subclasses) to allocate the remaining negative values 
they should be allocated using the relative ratio process again. 

If there ait only positive values remaining, copy Line 29 values 
to Line 32 and skip Lines 30-31. 

30. Relative ratio of Line 25 
(Line 25/Line 25 total) 

31. Allocate the difference on Line 29 (only if all of Line 29 
vatu* arc negative) based on the relative ratio on Line 30 

(Line 29 total x Line 30) Copy Line 31 values to Line 32. 

32 Total lost revenue allowed to be recouped 


Form G, Page 3 of 5 





March 1, 2019 
Yol. 44 , No. 5 


Missouri Register 


Page 809 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Soction J37.073.3(2Xa) and (b) RSMo 

For School Districts With a Separate Rate on Each Subclass of Property 


Name of School District 


School Districl Code 


Purpose of Levy 


Real Estate 


Residential _ Agricultural _ Commercial _ Personal Property _ Total 


Yea r 20 - Com plete li nes 33 th rn ugh 48 for the prior year (if applicable}. 


33. Revised locally assessed valuation after the changes to 20 _ 
tax rates have been made (Revised Form A, Line 1) 

34 Revised tax rate ceding after the revision to the assessed 
valuation was made (Revised Summary Page, Line F) 

35. Revised permissible local assessed tai revenue 
((Line 33 x Line 34yi00) 

36. Origina l tai rate ceiling (Certified) (Original Summary' 

Page, Line F) 

37. Total locally assessed tax revenue actually produced 

((Line 33 x Line 36)/lOO) 

38. Revenue loss due to local assessment reduction 

(Line 35 - Line 37) 

39. Estimated lost revenue from state assessed property' due 
to revised rates nr state assessment reductions 

This amount must be estimated by the district. 

40 Total lost revenue to he recouped (Line 38 + Line 39) 

If there are no negative values, copy Line 40 values to Line 48 
and skip Lines 41-47. 

41. Additional revenue that was received (Pull down negative 
values from Line 40) 

42. Revised locally assessed valuation if Lise 40 > 0 (L ine 33 if 
Line 40 >0) 

43. Relative ratio of Line 42 ratio of assessed valuation of each 
subclass to the total (Line 42/Line 42 total) 

44. Allocate the difference on Line 40 based on the relative ratio 
on Line 43 (Line 41 x Line 43) 

45. Adjusted lost revenue (Line 40 + Line 44) 

If there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps. 

If there is a negative valucfs) and there is still a positive value(s) 
in another subclasses) to allocate the remaining negative values 
they should be allocated using the relative ratio process again 
If there are only positive values remaining, copy Line 45 values 
to Line 48 and slap Lines 46-47. 

4 6 Rcla live ratio of Line 41 
(Line41/Linc4l total) 

47. AHoca te the difference on Line 45 (on ly if all of Line 45 
values are negative) based on the relative ratio on Line 46 
(Line 45 total x Line 46) Copy Line 47 values to Line 48. 


4 8. Total lost revenue a Mowed to be recou ped 


Form G,Page 4 of 5 




Page 810 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 137.073.3(2)(a) and (b)RSMo 

For School Districts With a Separate Rate on Each Subclass of Property 


Name of School District 


School District Code 


Purpose of Levy 


____ Real Estate _ 

Residential _ Agricultural _ Commercial _ Personal Property _ Total 


Determination nf Recoupment Rates 


49. Total revenue loss 

(Line 16 f Line 32 r Line 48) 

50 Additional revenue that was received 
(Pull down negative values from Line 49) 


51. Total current year locally assessed property 

52. Revised current year locally assessed property Line 50> 0 

(if Line 50 > 0, Line 51, otherwise 0) 

53. Relative ratio of Line 52 

(Line 52/Line 52 total) 

54. Allocate the difference 

(Line 50 negative total x Line 53) 

55. Estimated lost revenue from state assessed property due 
to revised rates or state assessment reductions 

This amount must be estimated by the district, 

56. Adjusted lost revenue (Line 49 + Line 54 + Line 55) 

If there are only negative values remaining, the negative values 
should be allocated back, to the subclass the negative was initially 
under, using the following steps. 

If there is a negative values) and there is still a positive values) 
in another subclasses) to allocate the remaining negative values 
they should be allocated using the relative ratio process again. 

If there arc only positive values remaining, copy Line 56 values 
to Line 59 and skip Lines 5?-5&. 

57. Relative ratio of Line 50 

(Line 50/Line 50 total) 

58. Allocate the difference on Line 56 (only if all of Line 56 values 
are negative) based on the relative ratio on Line 57 

(Line 56 total x Line 57) Copy Line 58 values to Line 59. 


59, Total lost revenue allow ed to be recouped 

60, Revenue desired to recoup in the current year 
Do not enter more than Line 59. 

61, Rate(s) to be levied to partially or fully recoup the loss 
((Line 60/Line 5l)x 100) 


Complete Lin* 62 if Line 60 is less than Line 59, Form H will need to be completed to continue this recoanment in the 2nd or 3rd year. 

62. Portion of rev enue on Line 59 remaining for a second or 

third year of recoupment (Line 59-Line 60) ______ 


Form G.Page 5 of 5 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 811 


AUTHORITY: sections 29.100, and 137.073.6, RSMo 2016. Original 
rule filed March 24, 2016, effective Nov. 30, 2016. Amended: Filed 
Jan. 31, 2018, effective July 30, 2018. Amended: Filed Jan. 28, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri State Auditor's Office, Attention: Paul Harper, PO Box 869, 
Jefferson City, MO 65102 or email to rules@auditor.mo.gov. within 
thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 


Title 15—ELECTED OFFICIALS 
Division 40—State Auditor 
Chapter 3—Rules Applying to Political Subdivisions 

PROPOSED AMENDMENT 

15 CSR 40-3.135 Calculation and Revision of Property Tax Rates 
by Political Subdivisions Other Than School Districts. The State 
Auditor's office is replacing Form G referenced in section (3). 

PURPOSE: This amendment updates the forms and calculations used 
by political subdivisions other than school districts to calculate and 
revise their property tax rate under section 137.073, RSMo. Under 
the Missouri Constitution, Article X, Section 22, and section 
137.073, RSMo, political subdivisions other than school districts 
must calculate their annual tax rate ceilings and submit them to the 
Missouri State Auditor’s Office. This amendment incorporates 
changes to recoupment form, Form G referenced in section (3), with 
corresponding instructions. 



Page 812 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 13'7.073.3(2X&) and (b) RSMo 

For Political Subdivisions Other Than School Districts With a Separate Rate on Each Subclass of Property 


Name of Political Subdivision 


Political Subdivision Code 


Purpose of Levy 


If assessment* arc reduced after tax rates are set and the reductions arc due to decisions of the Stale Tax Commission or a judicial court or due to clerical collections, the existing tax rate ceiling 
may be revised to compensate for the changes described above A political subdivision may document these changes by filing revised copies of each of the tax rate forms for each year that is 
affected These changes should be clearly marked on the revised forms and a written explanation of the revised should be attached. 

Before completion of this form, revisions are required to the prior yeaifs) tax rate fotms to determine the revised assessed valuation and revised tax rate ceiling Revised fornis must be filed with 
the Slate Auditor before or at the time the recoupment form is filed. 

After making revisions, a political subdivision may be permitted to levy an additional tax for up to three years to recoup the revenues it was entitled to receive for the prior yeaifs) affected by the 
revisions. The steps below determine if a recoupment is permissible and document to what extent the political subdivision desires to recoup in the current year. 

Start with the oldest prior year (if applicable) and work forward to the present. 

Please provide a written explanation in the space below (or by attaching an explanation) as to why the political subdivision would be eligible for the recoupment process 



Certification 

1, the undersigned hereby do certify that the data set forth below is true and accurate to the best of my knowledge and belief. 


Name of Political Subdivision 


Telephone 


Signature 


Political Subdivision Code 


Date 


Print Name 


Purpose of Levy 


Form G, Page 1 of 5 




March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 813 


Form <2 - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 137.07$.3(2)(&) and (b) RSMo 

For Political Subdivisions Other Than School Districts With a Separate Rate on Each Subclass of Property 


Name of Political Subdivision 


Political Subdivision Code 


Purpose of Levy 


_ Real Estate _ 

Residential Agricultural Comm ercial_ Personal Property _ Total 


Year 20 - Complete lines 1 through 14 for the third prior year fif applicable!. Make a copy of this section for calculating a recoupment of the fourth or older prior vearfs). 

1. Rev iaed assessed valua tion after the changes to 20_ 

tax rates have been made (Revised Form A. Line 1) _______ 

2. Rev ised tax rate ceding after the revision to the assessed 

valuation was made (Revised Summary Page, Line F) ____ 

3. Revised perm risible tax revenue 

((Line 1 x Line 2^ 100) ____„_ _ 

4. Origi na I tax ra (e ceiling (Ce rtiGed) (Original Summary 

Page, Line F) _ _ _____„___ 

5. Total tax revenue actually produced 

((Line 1 x Line 4)/100) _„______ 

6 Total lost revenue to be recouped (Line 3 - Line 5) 

If there are no negative values, copy Line 6 values to Line 14 

and skip Lines 7-13, ________ 

7. Additional revenue that was received (Pull down negative 

values from Line 6) ________ 

8. Revised assessed valuation if Line 6> 0 (Line 1 if 

Lme6 > 0) ______._ 

9. Relative ratio of Line 8 ratio of assessed valuation of each 

subclass to the total (Line 8/Line 8 total) ______________ 

10. Allocate the difference on Lined based on the relative ratio 

on Line 9 (Lire 7 xLine 9) ___ „__ 

11. Adjusted lost revenue (Line 6 + Line 10) 

Tf there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps 

If there is a negative values) and there is still a positive values) 
in another subclasses) to allocate the remaining negative values 
they should be allocated using the relative ratio process again. 

If there are only positive values remaining, copy Line 11 values 

to Line 14 and skip Lines 12-13.______ 

12. Relative ratio of Line 7 

(Line 7/Line 7 total) _____ ____ 

13. Allocate the difference ou Line 11 (only if all of Line 11 
values are negative) based on the relative ratio on Line 12 

(Line 11 total x Line 12) Copy Line 13 values to Line 14. _______ 


14. Total lost revenue allowed to be recouped 


Form G, Page 2 of 5 



Page 814 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section |37.073.3(2)(a}an<f (b) RSMo 

For Political Subdivisions Other Than School Districts With a Separate Rate on Each Subclass of Property 


Name of Political Subdivision 


Political Subdivision Code 


Purpose of Levy 


Real Estate 


Residential_ Agricultural _ Commercial _ Personal Property _ Total 


Year 20 - Complete lines 15 through 38 for the second prior year (if applicable^ 


15. Revised assessed valuation after the changes to 20 
tax rates have been made (Revised Form A, Line 1) 

16. Rev ised ta * rate ceiling after the revision to the assessed 
valuation was made (Revised Summary Page, Line F) 

17. Revised perm tssible tax revenue 

((Line 15 x Line 16V100) 

1S. Original tax rate ceiling (Certified) (Original Summary 
Page, Line F) 

19. Total tax revenue actually produced 

((Line 15 xLinc 18)/100) 

20 Total lost revenue to be recouped (Line 17 » Line 19) 

If there are no negative values, copy Line 20 values to Line 2ft 
and ship Lines 21-27. 

21 Add itiooal re ven ue that was received (Pul I down negative 
values from Line 20) 

22. Revised assessed valuation if Line 20 > 0 (Line 15 if 
Line 20 > 0) 

23 Rela rive ratio of Line 22 ratio of assessed valuation of each 

subclass to the total (Line 22/Line 22 total) 

24. Allocate the difference on Line 20 based on the relative ratio 
on Line 23 (Line21 x Line23) 

25. Adjusted lost revenue (Line 20 + Line 24) 

If there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps, 

Tf there is a negative valued) and there is still a positive value(s) 
in another subclass(es) to allocate the remaining negative values 
they should be allocated using the relative ratio process again. 

If there are only positive values remaining, copy Lire 25 values 
to Line 28 and skip Lines 26-27. 

26. Relative ratio of Line 21 
(Line 21/Line 2 1 total) 

27. Alioca te the difference on Line 25 (only if al I of Line 25 
values are negative) based on the relative ratio on Line 26 

(Line 25 total x Ltne 26) Copy Line 27 values to Line 27. 


2ft. Total lost revenue allowed to be recouped 


Form G, Page 3 of 5 







March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 815 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 137.0?3.3(2)(a) and (b) RSMo 

For Political Subdivisions Other Than School Districts With a Separate Rate on Each Subclass of Property 


Name of Political Subdivision 


Political Subdivision Code 


Purpose of Levy 


_ Real Estate _ 

Residential _ Agricultural _ Commercial Personal Property _ Total 


Yea r20 - Complete lines 19 through 42 for the prior year l it a nplirabtel. 


29. Revised assessed valuation aflcrlhe changes to 20_ 

tax rates have been made (Revised Fotm A, Line 1) 

30. Revised tax rate ceiling after the revision to the assessed 
valuation was made (Revised Summary Page, Line F) 

3J. Revised permissible tax revenue 

((Line 29 x Line 30V100) 

32. Original las rate ceiling (Certified) (Original Summary 
Page, Line F) 

33 Total tar revenue actually produced 

((Line 29 x Line 32y 100) 

34. Total lost revenue to be recouped (Line 31 - Line 33) 

If there are no negative values, cop)- Line 34 values to Line 42 
and skip Lines 33-41. 

35. Additional revenue that was received (Pull down negative 
values from Line 34) 

36. Revised assessed valuation if Line 34> 0 (Line 29 if 
Line 34 > 0) 

37 Relative ratio of Line 36 ratio of assessed valuation of each 
Subclass to the total (I-ine 36/Lioe 36 total) 

38 Allocate the difference on Line 34 based on the relative ratio 
on Line 37 (Line 35 x Line 37) 

39. Adjusted lost revenue (Line 34 +■ Line 38) 

If there arc only negative values remaining, the negative values 
should be allocated bad: to the subclass the negative was initially 
under, using the following steps 

If there is a negative valuefs) and thcieis still a. positive value(s) 
in another subclasses) to allocate the remaitti ng negative values 
they should he allocated using the relative ratio process again. 

If there arc only positive values remaining, copy Line 39 values 
to Line 42 and skip Lines 40-41. 

40. Relative ratio of Line 35 
(Line 35/Line 35 total) 

41. Allocate the difference on Line 39<onJy if all of Line 39 
VHlnes u re negative) based on the relative ratio on Line 41 

(Line 39 total x Line 40) Copy Line 41 values to Line 42, 


42 Total lost revenue allowed to he recouped 


Form G. Page 4 of 5 




Page 816 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Form G - Initial Calculation of Allowed Recoupment & Calculation of First Year Recoupment Taken 

For Compliance With Section 137.073.3(2Xa) and(b)RSMo 

For Political Subdivisions Other Than School Districts With a Separate Rate on Each Subclass of Property 


Name of Political Subdivision 


Political Subdivision Code 


Purpose of Levy 


_ Real Estate _ 

Residential _ Agricultural _ Commercial Personal Property _ Total 


Determination of Recoupment Rates 


43. Total revenue loss 

(Line 14 + Line 28 + Line 42) 

44 Additional revenue that was received 
(Pull down negative values from Line 44) 


45. Total current year assessed property 

46. Revised current year assessed property Line 44 > 0 

(If Line 44 > 0, Line 45, otherwi se 0) 

47. Relative ratio of Line 46 
(line 46/Line 46 total) 

48 Allocate the differ cl ce 

(Line 44 negative total x Line 47) 

49 Adjusted lost revenue (Line 43 + Line 48) 

If there are only negative values remaining, the negative values 
should be allocated back to the subclass the negative was initially 
under, using the following steps. 

If there is a negative valuefs) and there is still a positive values) 
in another subckss(es) to allocate the remaining negative values 
they should be allocated using the relative ratio process again 
If there are only positive values remaining, copy Line 49 values 
to Line 54 and skip Lines 50-53. 

50. Relative ratio of Line 44 
(Line 44/Line 44 total) 

5L Allocate the difference on Line 49 (only if all of Line49 values 
are negative) based op the relative ratio on Line 50 

(Line 49 total x Line 50) Copy Line 51 values to Line $2. 


52. Total lost revenue allowed to be recouped 

53. Revenue desired to recoup in the current year 
Do not enter more than Line 52. 


54 Rate(s) to be Levied to partially or fully recoup the Loss 

{(Line 53/Line45) x 100) 


Complete Line 55 if Line 53 is less than Line 52. Form H will need to be completed to continue this recoupment in the 2nd or 3rd year, 
55. Portion of revenue on Line 52 remaining for a second or 

third year of recoupment (Line 52 * Line 53)___ 


Form G, Page 5 of 5 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 817 


AUTHORITY: sections 29.100, and 137.073.6, RSMo 2016. Original 
rule filed March 24, 2016, effective Nov. 30, 2016. Amended: Filed 
Jan. 31, 2018, effective July 30, 2018. Amended: Filed Jan. 28, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Missouri State Auditor's Office, Attention: Paul Harper, PO Box 869, 
Jefferson City, MO 65102 or email to rules@auditor.mo.gov. within 
thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 


Title 19—DEPARTMENT OF HEALTH AND SENIOR 
SERVICES 

Division 25 —Missouri State Public Health Laboratory 
Chapter 36—Testing for Metabolic Diseases 

PROPOSED AMENDMENT 

19 CSR 25-36.010 Testing for Metabolic and Genetic Disorders. 

The department is amending sections (6), (7), and (8). 

PURPOSE: This amendment makes grammatical changes, clarifies 
wording for consistency, and increases the fee ceiling for the speci¬ 
men screening. 

(6) The health care provider caring for an infant with an abnormal 
high-risk test [report] result from newborn screening shall report a 
definitive diagnosis within thirty (30) days of the date of the diagno¬ 
sis for that infant to the appropriate newborn screening contracted 
follow-up center as contracted by the Department of Health and 
Senior Services. The department shall prescribe and furnish all nec¬ 
essary reporting forms for this purpose. 

(7) The [medical professional] health care provider responsible 
for the medical care of the infant shall provide newborn screening 
education to the parents or guardians. Educational materials regard¬ 
ing the newborn screening conducted by the state, including the dis¬ 
orders screened for and the management and treatment of these dis¬ 
orders, are made available by the Department of Health and Senior 
Services. The educational materials may be ordered at 
www.health.mo.gov/warehouse/eliterature.html or by contacting the 
Department of Health and Senior Services’ Newborn Screening 
Program at 800-877-6246. 

(8) Effective [August] July, 1, [2015] 2019, a fee of up to [nine¬ 
ty-five ($95)] one hundred thirty-five dollars ($135) shall be 
charged for each specimen collection form used to obtain a newborn 
screening blood specimen. If the Missouri State Public Health 
Laboratory determines a submitted blood specimen to be unsatisfac¬ 
tory for testing due to laboratory or transportation issues, then a 
replacement specimen collection form will be made available without 
the fee being imposed. The Department of Health and Senior 
Services may collect the fee from any entity or individual described 
in section 191.331.1, RSMo. 

AUTHORITY: sections 192.006[, RSMo 2000, and sections] and 
191.331, RSMo 2016, and section 191.332, RSMo Supp. [2013] 


2017. This rule was previously filed as 13 CSR 50-143.010 and 19 
CSR 20-36.010. Original rule filed Sept. 29, 1965, effective Oct. 13, 
1965. For intervening history, please consult the Code of State 
Regulations. Amended : Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will cost state agencies 
twenty seven thousand nine hundred dollars ($27,900) annually with 
projected first year fee increase; twenty five thousand five hundred 
seventy five dollars ($25,575) in the aggregate with projected second 
year fee increase; and up to three hundred thirty-two thousand four 
hundred seventy-five dollars ($332,475) in the aggregate annually 
thereafter with implementation of additional fee increases up to the 
established fee cap. 

PRIVATE COST: This proposed amendment will cost private entities 
five hundred eighty four thousand six hundred forty dollars 
($584,640) annually with projected first year fee increase; two hun¬ 
dred twenty one thousand seven hundred sixty dollars ($221, 760) in 
the aggregate annually with the projected second year fee increase; 
and up to three million two hundred twenty-five thousand six hundred 
dollars ($3,225,600) in the aggregate annually thereafter with imple¬ 
mentation of additional fee increases up to the established fee cap. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support or in opposition to this proposed amendment with the 
Missouri Department of Health and Senior Services, State Public 
Health Laboratory, Bill Whitmar, Laboratory Director, PO Box 570, 
Jefferson City, MO 65102-0570. To be considered, comments must be 
received within thirty (30) days after publication of this notice in the 
Missouri Register. No public hearing is scheduled. 



Page 818 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


FISC At, NOTE 
PUBUC COST 


I. Department Title: Department of Health and Senior Sendees 
Division Title: Missouri State Public Health Laboratory 
Chapter Title: Testing for Metabolic Diseases 



II. SUMMARY OF FISCAL IMPACT 


Affected Agency or Political Subdivision 
Missouri Department of Social Services/MO HealthNet 
Division 


Estimated Cost of Compliance in the Aggregate 

$27,90<) annually with projected first year fee increase; 
$25,575 additional annually with projected second year fee 
increase; up to $3.12,475 annually in the aggregate with 
implementation of additional fee increases up to the 
established fee cap. 


III. WORKSHEET 

Projected first year increase: 15,000 specimen collection forms annually x S3.00 fee increase for laboratory testing x 62% 
= $27,900 annually. 

Projected second year increase: 15,000 specimen collection forms annually x $2.75 fee increase for laboratory' testing x 
62% _ $25,575 additional annually 

Maximum increase: 15,000 specimen collection forms annually x S35.75 fee increase for laboratory testing x 62% - 
$332,475 annually in the aggregate 


IV. ASSUMPTIONS 

♦ Estimated 15,000 tests billed each year to MO HealthNet for Medicaid eligible participants. 

• The MO HealthNet reimbursement rate is approximately 62% of the newborn screening fee associated with laboratory 
testing only. The remaining 38% is the slate match required by the Department of Social Services. The Department of 

! lealth and Senior Services provides the required state match generated from the fees collected for all newborn screening 


testing. 

• The increases anticipated ia the first two years ($3.00 year 1; $2.75 year 2} are needed to support the costs of testing 
performed for Spinal Muscular Atrophy (SMA) and Mucopolysaccharidosis Type 11 (Hunter). SMA and Hunter screening 
arc being implemented as required by SB 50 passed in 2017. 

« Additional fee increases will be implemented by DHSS as necessary to financially support inflationary costs and 
additional testing that may be added to the newborn screening panel in the future. Additional tests would only be 
implemented after review and approval by the DHSS Genetics Advisory Committee in order to remain in compliance with 
such recommendations as the Recommended Uniform Screening Panel (RUSP) of the Secretary’s Advisory Committee on 
Heritable Disorders in Newborns and Children or as required by legislation passed by the Missouri General Assembly. 






March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 819 


FISCAL NOTF 
PRIVATE COST 

1. Department Title: Department of Health and Senior Services 
Divisiim Title: Missouri State Public Health Laboratory 
Chapter Title: Testing for Metabolic Diseases 


Rule Number and Name: 19 CSR 25-3<i-010 Testing for Metabolic and Genetic Disorders 
Type of Rulemaking: Proposed Amendment ____ 


II. SUMMARY OF FISCAL IMPACT 


Estimate of the number of entities 
by class which would likdy be 
affected by the adoption of 
the rule: 

Classification by type of the 
business entities which would 
likely be affected: 

Estimate in the aggregate as to the cost of 
compliance with the rule by 
the affected entities: 

98 

Hospitals 

$584,640 annually with projected first year 

78 

Clinics 

fee increase; $221.760 additional annual fee 

46 

Midwives 

increase; up to $3,225,600 annually in the 

1470 

Physicians 

aggregate with implementation of additional 
fee increases up to the established fee cap 


HI. WORKSHEET 

Projected first year increase: 80,64(1 specimen collection forms annually x $7.23 fee increase = $584,640 annually 
Projected second year increase: 80,640 specimen collection forms annually x $2.75 fee increase - $221,760 
additional annually 

Maximum increase: 80,640 specimen collection forms annually x $40 fee increase — $3,225,600 annually in the 
aggregate 

IV. ASSUMPTIONS 

• Estimated 80,640 specimen collection, forms cadi year based on previous years. 

* Number of entities affected estimated by number of previous submitters. 

* The cost (estimated fee) of newborn screening will most likely be passed on to health insurance companies by the 
entities listed above. 

- The newborn screening fee provides the funds necessary for the Department of Health and Senior Services to 
perform the established laboratory screening tests and associated follow-up sendees for a positive test result. 

* The rule changes the fee cap ceiling from $95 per specimen collection form to a cap of $135 specimen col lection 
form (possible tola! fee increase of $40 per collection form). 

• The increase anticipated in the first two years ($7.25 year J; $2.75 year 2) are needed to support the costs of testing 
and follow-up services performed for Spinal Muscular Atrophy (SMA) and Mucopolysaccharidosis Type II (Hunter). 
The screening is being implemented as required by legislation passed by the Missouri Genera! Assembly in fiscal 
year 2017, 

• Additional fee increases will be implemented by DHSS as necessary to financially support inflationary costs and 
additional testing that may be added to the newborn screening panel in the future, Additional tests would only be 
implemented after review and approval by the DHSS Genetics Advisory Committee in order lo remain in compliance 
with such recommendations as the Recommended Uniform Screening Panel (RUSP) of the Secretary’s Advisory' 
Committee on I leritable Disorders in Newborns and Children or as required by legislation passed by the Missouri 
General Assembly. 




Page 820 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 1—General Organization and Procedures 

PROPOSED AMENDMENT 

20 CSR 2040-1.021 Definitions. The office is deleting section (1), 
adding new sections (1), (2), (6), and (18) renumbering as necessary, 
amending sections (3)-(8), (11)-(13), (15), (16), (18), (19), (21), and 
(25). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

[(1) "Announcer"—a person responsible for announcing the 
names of the officials, the contestants, the contestants' 
weight, and the decisions of the referee and judges during a 
bout.] 

(1) “Amateur Kickboxing”—any form of boxing in which blows 
are delivered with any part of the arm below the shoulder, 
including the hand and any part of the leg below the hip, includ¬ 
ing the foot, and where contestants do not compete for valuable 
consideration. Such contests take place in a rope-enclosed ring or 
a cage and are fought in timed rounds. 

(2) “Amateur Mixed Martial Arts—Any bout or contest in which 
any form of martial arts or self-defense is conducted on a full- 
contact basis and where contestants do not compete for valuable 
consideration where weapons are not used and where other com¬ 
bative techniques or tactics are allowed in competition, including 
chokeholds, boxing, wrestling, kickboxing, grappling and/or 
joint manipulation. Amateur mixed martial arts bouts may be 
held in a cage or ring. 

[(2)](3) “Bout”—one match involving either professional boxing, 
professional wrestling, professional or amateur kickboxing, profes¬ 
sional or amateur mixed martial arts, or professional full-contact 
karate contestants. 

[(3)1(4) “Contest”—a group of bouts involving licensed contestants 
competing in professional boxing, professional wrestling, profession¬ 
al or amateur kickboxing, professional or amateur mixed martial 
arts, or professional full-contact karate. 

[( 4)7(5) “Contestant(s)”—any human being who enters the ring to 
compete against another human being during a professional boxing, 
professional wrestling, professional or amateur kickboxing, profes¬ 
sional or amateur mixed martial arts, or professional full-contact 
karate bout. 

(6) “Fighting area”—the ring, cage, or physical area of the event 
site where the contestants compete during the mixed martial arts 
bout or contest. 

[(5)1(7) “Inspector”—a person employed by the Office of Athletics 
to attend professional boxing, professional wrestling, professional or 
amateur kickboxing, professional or amateur mixed martial arts, 
and professional full-contact karate events to ensure that all laws are 
adhered to by licensees of the Office of Athletics. 

[(6)](8) “Judge”—a person serving as a member of a panel for pro¬ 
fessional boxing, professional or amateur kickboxing, professional 
or amateur mixed martial arts, or professional full-contact karate. 
The panel is responsible for determining a decision in each bout. 
Each judge in the panel must reach a decision without conferring 


with the other judges of the panel. 

[(7) "Manager"—one who, for compensation, directs or con¬ 
trols the professional activities of any contestant.] 

[(8)J(9) “Martial arts”—to include professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, or profession¬ 
al full-contact karate. 

[(9)1(10) “Matchmaker”—a person responsible for matching the 
contestants for a bout(s) as to weight and experience. 

[(70)1(11) “Office”—the Missouri Office of Athletics. 

[(11)](12) "Official"—referees, judges, matchmakers, [managers,] 
seconds, [announcers,] timekeepers, and physicians involved in 
professional boxing, professional wrestling, professional or amateur 
kickboxing, professional or amateur mixed martial arts, or profes¬ 
sional full-contact karate contests. 

[(12) 7(13) “Permit”—authorization from the office to hold a profes¬ 
sional boxing, professional wrestling, professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, or profession¬ 
al full-contact karate event in the state of Missouri. 

[(13)1(14) “Physician”—a person who is licensed as a doctor of 
medicine or doctor of osteopathy under Chapter 334, RSMo and who 
has received a license as a physician from the office for professional 
boxing, professional wrestling, professional or amateur kickboxing, 
professional or amateur mixed martial arts, and professional full- 
contact karate contests. 

[(14)1(15) “Professional boxing”—the sport of attack and defense 
which uses the fist protected by gloves or mittens fashioned of leather 
or similar material where contestants compete for valuable consider¬ 
ation. Such contests take place in a rope-enclosed ring and are fought 
in timed rounds. 

[(15)1(16) “Professional full-contact karate”—any form of full-con- 
tact martial arts, including but not limited to, kickboxing, [kungfu, 
tae kwan-do,] or any form of self-defense conducted on a full-con- 
tact basis in a bout or contest where weapons are not used and where 
contestants compete for valuable consideration. Such contests take 
place in a rope-enclosed ring or a cage and are fought in timed 
rounds. 

[(16)1(17) “Professional kickboxing”—any form of boxing in which 
blows are delivered with any part of the arm below the shoulder, 
including the hand and any part of the leg below the hip, including 
the foot, and where contestants compete for valuable consideration. 
Such contests take place in a rope-enclosed ring or a cage and are 
fought in timed rounds. 

(18) “Professional Mixed Martial Arts—Any bout or contest in 
which any form of martial arts or self-defense is conducted on a 
full-contact basis and where contestants compete for valuable 
consideration where weapons are not used and where other com¬ 
bative techniques or tactics are allowed in competition, including 
chokeholds, boxing, wrestling, kickboxing, grappling, and/or 
joint manipulation. Professional mixed martial arts may be held 
in a cage or a ring. 

[(17)1(19) “Professional wrestling”—any performance of wrestling 
skills and techniques by two (2) or more professional wrestlers, to 
which any admission is charged. Participating wrestlers are not 
required to use their best efforts in order to win, the winner may have 
been selected before the performance commences and contestants 
compete for valuable consideration. Such contests take place in a 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 821 


rope-enclosed ring and are fought in timed rounds. 

[(18)1(20) “Promoter”—a person, association, partnership, corpora¬ 
tion, limited liability company, or any form of business entity 
licensed by the office who arranges, advertises, or conducts profes¬ 
sional boxing, professional wrestling, professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, and profes¬ 
sional full-contact karate contests and who is responsible for obtain¬ 
ing a permit for each contest and for payment of any state athletic 
taxes [and production right taxes], 

[(19)1(21 ) “Purse”—the financial guarantee or any other remunera¬ 
tion which contestants receive for participating in a bout. It includes 
the contestant’s share of any payment received for radio broadcast¬ 
ing, television, or motion picture rights. 

[(20)](22) “Referee”—the person in charge of enforcing these rules 
during any contest involving professional boxing, professional 
wrestling, professional or amateur kickboxing, professional or 
amateur mixed martial arts, or professional full-contact karate. 

[(21)1(23) “Second”—an individual who attends to the contestant 
between rounds. 

1(22)1(24) “Sparring”—boxing for practice or as an exhibition. 

[(23)1(25) "Timekeeper”—a person responsible for keeping accurate 
time during each bout and also responsible for the knockdown count 
for professional boxing, professional wrestling, professional and 
amateur kickboxing, and professional full-contact karate. 

AUTHORITY: section 317.001 RSMo 2016 and section 317.006, 
RSMo Supp. 2018. This rule originally filed as 4 CSR 40-1.021. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may fde a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 3—Ticket Procedures 

PROPOSED AMENDMENT 

20 CSR 2040-3.011 Tickets and Taxes. The division is amending 
sections (l)-(4), (7), and (8). 

PURPOSE: Tlte rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(1) The right of admission to a contest of professional boxing, pro¬ 


fessional wrestling, professional or amateur kickboxing, profes¬ 
sional mixed martial arts, amateur mixed martial arts, and pro¬ 
fessional full-contact karate shall not be sold or otherwise granted to 
a person or entity unless that person or entity is provided with a tick¬ 
et. 

(2) The promoter of a contest of professional boxing, professional 
wrestling, professional or amateur kickboxing, professional or 
amateur mixed martial arts, and professional full-contact karate 
shall: 

(3) Every ticket shall have the price, the name of the promoter, and 
the date of the contest. Unless otherwise authorized by the office, 
the ticket stub of each ticket shall indicate the price of the tick¬ 
et. 

(4) A notice specifying a change in ticket prices or the dates of a con¬ 
test or a notice specifying an amendment to the contract value of a 
contest of professional boxing, professional wrestling, professional 
or amateur kickboxing, professional or amateur mixed martial 
arts, and professional full-contact karate shall be made in writing to 
the office within ten (10) business days of the event. The promoter 
shall obtain prior approval from the office for any date changes for 
the contest. 

(7) Each promoter shall provide a ticket and/or credential without 
charge to: 

(A) Licensed contestants/,/ and seconds/, and managers] who 
are engaged in a bout which is part of the contest of professional box¬ 
ing, professional wrestling, professional or amateur kickboxing, 
professional or amateur mixed martial arts, and professional full- 
contact karate; and 

(8) Notwithstanding other provisions of law in this regulation, the 
promoter of a contest of professional boxing, professional wrestling, 
professional or amateur kickboxing, professional or amateur 
mixed martial arts, and professional full-contact karate shall admit 
to such contest the division director, executive director, administra¬ 
tor, and inspectors of the office, or authorized firefighters, police 
officers, security officers, and any other individuals authorized by 
the office assigned to work the event, any referee, judge, timekeeper, 
ringside physician, and medical personnel who are independent con¬ 
tractors of the office who are assigned to the event and who presents 
photo identification and an official badge or other credential evidenc¬ 
ing such status. The promoter of a contest and officials of the venue 
shall allow a person listed in this section full access to the site of the 
contest and dressing rooms. 

AUTHORITY: section 317.006, RSMo Supp. 2018. This rule original¬ 
ly filed as 4 CSR 40-3.011. Original rule filed April 30, 1982, effec¬ 
tive Sept. 11, 1982. For intervening history, please consult the Code 
of State Regulations. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 



Page 822 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 3—Ticket Procedures 

PROPOSED RESCISSION 

20 CSR 2040-3.030 Approval of Nationally Recognized Amateur 
Sanctioning Bodies. This rule provided requirements to obtain 
approval to sanction amateur mixed martial arts events. 

PURPOSE: The passage of HB 1388 eliminates the need to approve 
sanctioning bodies. 

AUTHORITY: section 317.006.1, RSMo 2016. Original rule filed 
March 27, 2007, effective Sept. 30, 2007. Amended: Filed March 20, 
2018, effective Sept. 30, 2018. Rescinded: Filed: Jan. 25, 2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.015 Promoters. The office is amending sections (1)- 
(4), (6), (8) and (12)-(13). 

PURPOSE: Tltis rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(1) No person, association, partnership, corporation, limited liability 
company, or any other form of business entity may promote any pro¬ 
fessional boxing, professional wrestling, professional or amateur 
kickboxing, professional or amateur mixed martial arts, or profes¬ 
sional full-contact karate contest without obtaining a license from the 
Office of Athletics. Licensees shall not allow another to use their 
promoter’s license. Promoters shall supervise their employees and 
may be liable for the conduct of those employees and for any viola¬ 
tion of Chapter 317, RSMo or the rules adopted thereunder. The 
office shall deem any violations by an employee or representative of 
a promoter as a violation of the promoter. 

(2) Before the office issues a promoter’s license, the promoter shall 
provide the office a surety bond in the amount of [five thousand 
dollars ($5,000)1 twenty-five thousand dollars ($25,000) or an 
irrevocable letter of credit in the amount of at least [five thousand 
dollars ($5,000)1 twenty-five thousand dollars ($25,000) from a 
lending institution approved to do business in the United States to 


guarantee payment of all state athletic taxes and fees to the state as 
well as all expenses of the contestants and officials in the event of 
default by the promoter. The irrevocable letter of credit may only 
be released upon written approval by the office. An additional bond 
or irrevocable letter of credit may be required in the amount specified 
by the office where it may be reasonably expected that the [five 
thousand dollars ($5,000)1 twenty-five thousand dollars 
($25,000) bond or irrevocable letter of credit will not provide suffi¬ 
cient protection to the state. It is the duty of each promoter to main¬ 
tain all required bonds on a current status. 

(3) The promoter shall apply for a permit for each contest. The 
application for permit and appropriate fee should be received by the 
office not later than [five (5)1 ten (10) business days before the date 
of the [professional] contest for which the permit is being sought. 

(4) Promoters may be liable for all contests held and for meeting all 
deadlines for permit and license applications. Within [fifteen (15)1 
ten (10) business days after a contest the promoter shall pay the state 
athletic tax to the office. 

(6) Promoters shall provide all materials necessary to conduct the 
contests, such as ring, stools, [resin,] water buckets, bell, buzzer or 
whistle, timer, gloves, gauze, tape for hand wraps, and adequate 
scales. 

(8) For adequate public safety, the promoter is responsible for ensur¬ 
ing that no bottled drinks, unless poured into disposable [paper] 
cups by vendors at the time of sale, are permitted in any hall or facil¬ 
ity where any contest is being held. If the contest is staged out-of- 
doors disposable [paper] cups also may be used on the site of the 
contest. 

(12) A promoter for a professional boxing [or] professional or 
amateur kickboxing, professional full-contact karate, or profes¬ 
sional or amateur mixed martial arts events shall arrange for an 
ambulance to be on site at each event with emergency personnel and 
proper resuscitation equipment. No event may begin without the 
presence of a licensed medical doctor or doctor of osteopathic 
medicine approved by the office at ringside as provided in 20 
CSR 2040-4.040. 

(13) [Boxing promoters shall submit to the office proof that 
health insurance has been purchased for each boxing con¬ 
testant prior to scheduled contest.] Before the office issues a 
permit for a professional boxing, professional or amateur kick¬ 
boxing, professional full-contact karate, or professional or ama¬ 
teur mixed martial arts event the promoter shall provide the 
office with proof of insurance coverage providing for payment of 
each contestant in the amount of at least ten thousand dollars 
($10,000) in case of injury and at least ten thousand dollars 
($10,000) in case of death. No contestant may waive the insurance 
coverage. Promoter shall be responsible for deductible payments, 
if any. 

AUTHORITY: sections 317.006 and [section] 317.015, RSMo 
[2016] Supp. 2018. This rule originally filed as 4 CSR 40-4.015. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will save private entities 



March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 823 


one million one hundred seventy-nine thousand two hundred sixty- 
two dollars ($1,179,262) to two million twelve thousand five hundred 
twelve dollars ($2,012,512) annually for the life of the rule. It is 
anticipated that the costs will recur for the life of the rule, may vary 
with inflation, and are expected to increase at the rate projected by 
the Legislative Oversight Committee. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 



Page 824 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


PRIVATE FISCAL NOTE 


I. RULE NUMBER 

Title 20 - Department of Insurance, Financial Institutions and Professional Registration 

Division 2040 - Office of Athletics 

Chapter 4 - Licensees and Their Responsibilities 

Proposed Rule - 20 CSR 2040-4.015 Promoters 


II. SUMMARY OF FISCAL IMPACT 


Estimate the number of 
entities by class which 
would likely be affected by 
the adoption of the 
proposed amendment: 

Classification by type of the business 
entities which would likely be 
affected: 

Estimated cost of compliance 
with the amendment by affected 
entities: 

25 

Promoters 

$4,250 


(Surety Bond @ 170 - $500 per year) 

to 



$12,500 

25 

Promoters 



(Medical Insurance for contestants @ 

$50,000 


$2,000) 


25 

Promoters 

$1,125,000 


(Medical Insurance for mixed martial 

to 


arts contestants @ $750 to $1,300 per 

$1,950,000 


show for 60 shows per year) 


25 

Promoters 

$12 


(Postage @ $.49) 




$1,179,262 


Estimated Annual Cost of Compliance 

to 


for the Life of the Rule 

$2,012,512 


III. WORKSHEET 

See Table Above 

IV. ASSUMPTION 

1. The figures reported above are based on FY18 actuals. 

2. There are no costs associated with a letter of credit. 

3. It is anticipated that the total cost will recur for the life of the rule, may vary with inflation and is 
expected to increase at the rate projected by the Legislative Oversight Committee. 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 825 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.020 Matchmakers. The office is amending the pur¬ 
pose statement and sections (1), (3), and (5). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

PURPOSE: This rule clarifies the duties and responsibilities of 
matchmakers with respect to professional boxing, professional kick¬ 
boxing, [and] professional full-contact karate, professional mixed 
martial arts, amateur mixed martial arts, and amateur kickboxing. 

(1) A licensed matchmaker is required to be present at all profession¬ 
al boxing, professional or amateur kickboxing, professional or 
amateur mixed martial arts, and professional full-contact karate 
contests. In professional boxing, professional or amateur kickbox¬ 
ing, professional or amateur mixed martial arts, and professional 
full-contact karate, the office shall not allow a promoter and match¬ 
maker to be the same person. 

(3) All [boxing] bouts shall be approved or disapproved by the 
office. A bout deemed to be a mismatch based on the record, expe¬ 
rience, skill, and condition of the contestants as known or represent¬ 
ed to the office at or before the bout, which could expose one (1) or 
both contestants to serious injury, will be denied. In addition all bout 
contestants must meet the following criteria to be approved: 

(A) Any [boxer] contestant who has lost their last ten (10) bouts 
by decision, technical knockout, or knockout will not be approved to 
box in a bout; 

(B) Any [boxer] contestant who has lost their last six (6) bouts 
by technical knockout or knockout will not be approved to box in a 
bout; and 

[(C) Any boxer with less than ten (10) professional bouts 
may not box an opponent with more than fifteen (15) pro¬ 
fessional bouts;] 

](D)](C) All [boxer's] contestant’s records, skill, and experi¬ 
ence must be verified through the national [boxing] registry for 
their respective sport, which is appointed by the Association of 
Boxing Commissions or a similar organization/; and]. 

[(E) The office shall verify the experience and skill of a 
boxer, if verifiable through the national boxing registry.] 

(5) No matchmaker in a specific contest may act in the capacity of a 
[licensed manager or] licensed second for that specific contest 
either directly or indirectly. 

AUTHORITY: section 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.020. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 


NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 

Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.030 [Professional Boxing, Professional 
Wrestling, Professional Kick-boxing, and Professional Full- 
Contact Karate] Referees. The office is amending the title, sections 
(1), (9), (13), (14), and (16). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(1) The referee is charged with the enforcement of all office rules 
that apply to the conduct of the contest and the conduct of the con¬ 
testants and contestant’s second(s) while s/he is in the ring. Before 
the office issues a referee’s license: 

(A) The applicant must/;/— 

1. Certify that s/he has read and understands Missouri laws and 
rules. Upon such certification the applicant shall be deemed to have 
full knowledge and understanding of said laws and rules; and 

2. Have two (2) years of documented experience refereeing box¬ 
ing, wrestling, kickboxing, full-contact karate, or mixed martial 
arts matches. It is not necessary that this experience be obtained by 
refereeing professional boxing, professional wrestling, professional 
or amateur kickboxing, professional or amateur mixed martial 
arts, or professional full-contact karate; 

(B) The office may require/;/— 

1. The applicant take and pass a written test covering profes¬ 
sional boxing, professional wrestling, professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, and profes¬ 
sional full-contact karate; and 

2. The applicant may be required to have a physical examina¬ 
tion by a licensed physician to determine fitness to perform. 

(9) In the event of serious cuts or injuries, the referee shall summon 
the physician who shall [decide] make a recommendation to the 
referee if the bout should be stopped. 

(13) When a fallen contestant rises and falls again without being hit 
again in a boxing, kickboxing, or full-contact karate bout, the ref¬ 
eree may continue the original count, rather than starting a new 
count. If the bell rings ending the round during the count, the count 
shall continue [except when the bell rings ending the last 
round of the bout], A contestant is deemed to be down when any 
part of his/her body, with the exception of his/her feet, is on the floor 
or if s/he is hanging helplessly on or over the ropes. A referee can 
count a contestant out either on the ropes or on the floor. During the 
eight- (8-) count, the referee should assess the condition of the con¬ 
testant and either allow him/her to continue or stop the bout. During 
any count, the opponent should immediately go to the neutral corner 
and remain there until the referee signals the bout is to be continued. 
In the event the contestant who has scored the knockdown fails to go 
to the neutral corner, the referee may stop the count until the contes¬ 
tant who scored the knockdown returns to the neutral corner. 



Page 826 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


(14) In assessing fouls, the referee must weigh the cause as well as 
the effect. If the referee has seen a low blow (punch below the belt 
line) delivered and if the blow had a damaging effect, s/he may per¬ 
mit a rest period to the victim not to exceed five (5) minutes. During 
the rest period, seconds may not assist or coach the injured contes¬ 
tant. The offending contestant shall go to a neutral corner and shall 
not be coached during the period. If the injured contestant refuses to 
continue after a five- (5-) minute rest period, the opponent may be 
named the winner. The referee shall give an official warning for a 
low blow to the offending contestant, and then s/he will give the 
command to continue after the end of the rest period if the contestant 
who received the low blow indicates s/he is ready to continue the 
bout. Additional low blows shall be penalized with deduction of 
points from the offending contestant or disqualification of the offend¬ 
ing contestant. A [boxer] contestant cannot be named the winner of 
a bout as the result of receiving a low blow unless, in the opinion of 
the referee, the blow was delivered deliberately and of enough force 
to seriously incapacitate the injured [boxer] contestant so that s/he 
could not continue the bout. Under this condition, the offender shall 
be disqualified immediately. 

(16) Whenever a contestant has been injured, knocked out, or tech¬ 
nically knocked out, the referee shall immediately summon the 
attending physician to aid the stricken contestant. Except at the 
request of the physician, no [manager(s) or] second! s) may be per¬ 
mitted to aid the stricken contestant. 

AUTHORITY: section 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.030. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may fde a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.040 Physicians [for Professional Boxing, 
Professional Wrestling, Professional Kickboxing, and 
Professional Full-Contact Karate], The office is amending the title, 
purpose statement, and sections (2)-(3). 

PURPOSE: Dtis rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

PURPOSE: This rule defines the responsibilities of physicians for 
professional boxing, professional kickboxing, [and] professional fidl- 
contact karate, professional mixed martial arts, amateur mixed 


martial arts, and amateur kickboxing. 

(2) A physician licensed pursuant to sections 317.001 to 317.021, 
RSMo is in charge of all physical examinations. S/he is at ringside 
during all professional boxing, professional and amateur kickbox¬ 
ing, professional and amateur mixed martial arts, and profession¬ 
al full-contact karate contests and, if called upon, ready to advise the 
referee. 

(3) Within forty-eight (48) hours before a contest, contestants for 
professional boxing, professional or amateur kickboxing, profes¬ 
sional or amateur mixed martial arts, and professional full-contact 
karate shall be given a physical examination by a physician appointed 
and licensed by the office. Contestants shall disclose all medical his¬ 
tory and conditions to the physician during the physical examination, 
including, whether or not the contestant is pregnant. 

AUTHORITY: section 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.040. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.050 Timekeepers. The office is antending section 

(4). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(4) The timekeeper shall be responsible for the knockdown count 
during boxing, kickboxing, and full-contact karate. The time¬ 
keeper begins counting each second during the knockdown count. If 
the knockdown occurs within ten (10) seconds of the end of the 
round, the timekeeper shall not ring the bell until the referee indi¬ 
cates the contestant is ready. 

AUTHORITY: section 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.050. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agencies 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 827 


or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED RESCISSION 

20 CSR 2040-4.060 Announcers. This rule defined the duties and 
responsibilities of announcers 

PURPOSE: The rules is being rescinded because announcers are no 
longer required to be licensed by the Office of Athletics. 

AUTHORITY: sections 317.006 and 317.015, RSMo 2016. This rule 
originally fded as 4 CSR 40-4.060. Original rule filed April 30, 
1982, effective Sept. 11, 1982. Rescinded and readopted: Filed 
March 2, 1989, effective May 11, 1989. Amended: Filed Nov. 15, 
2001, effective May 30, 2002. Moved to 20 CSR 2040-4.060, effective 
Aug. 28, 2006. Amended: Filed March 20, 2018, effective Sept. 30, 
2018. Rescinded: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.070 Seconds. The office is amending sections (2), 
(4), and (5) and adding new section (10). 

PURPOSE: Tins rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(2) Unless special permission is given by the office, there shall be no 


more than three (3) seconds, one (1) of whom will announce to the 
referee at the start of the bout that s/he is the chief second. Only one 
(1) second may be inside the ring between rounds for boxing, kick¬ 
boxing, or full-contact karate, the other two (2) may be on the ring 
platform outside the ropes. [Licensed managers may be permit¬ 
ted to act as seconds without being licensed as a second. 
While acting as a second, a licensed manager must observe 
all rules pertaining to the conduct of seconds.] For mixed 
martial arts a maximum of two (2) seconds may be in the cage or 
ring. The promoter at their discretion may reduce the number of 
seconds to two (2) for any bout. 

(4) Seconds shall not stand or lean on the ring apron or cage during 
the round. 

(5) The second shall equip him/herself with: 

(H) [Vaseline] Petroleum jelly; and 

(10) All seconds must report to the dressing room area and check 
in with the inspector in charge of the event at least sixty (60) min¬ 
utes before the scheduled start time of the event. If a second does 
not arrive prior to this timeframe, their ability to work as a sec¬ 
ond for this event may be denied. 

AUTHORITY: section 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.070. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 

20 CSR 2040-4.080 Judges [for Professional Boxing, 
Professional Kickboxing, and Professional Full-Contact 
Karate], The office is amending the title, purpose statement, and sec¬ 
tions (1), (2), and (6). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

PURPOSE: This rule defines the duties and responsibilities for 
judges for professional boxing, professional kickboxing, [and] pro¬ 
fessional fidl-contact karate, professional mixed martial arts, ama¬ 
teur mixed martial arts, and amateur kickboxing. 

(1) There will be three (3) judges for each bout. A bout will be 



Page 828 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


scored on a “ten- (10-) point must system.” The winner of the 
round is awarded ten (10) points and the loser of the round may 
be awarded nine (9) points or less, except for rare instances of an 
even round where each contestant may be awarded ten (10) 
points. Judges will judge mixed martial arts techniques, such as 
effective striking, effective grappling and control of the oppo¬ 
nent, effective aggressiveness, and effective defense to determine 
a winner of the round. 

(2) The judges shall reach their decisions without conferring in any 
manner with any other official or person including the other judges 
of the panel. Each judge shall make out his/her scorecard in accor¬ 
dance with provisions of the rules governing professional boxing, 
professional or amateur kickboxing, professional or amateur 
mixed martial arts, and professional full-contact karate. At the end 
of the round, the score shall be totaled and signed or initialed by each 
judge. The referee working the bout may collect the scorecards after 
each round and hand them to the inspector. 

(6) Before the office issues a judge’s license: 

(A) The applicant must: 

1. Certify that s/he has read and understands Missouri laws and 
rules. Upon such certification the applicant is deemed to have full 
knowledge and understanding of said laws and rules; and 

2. Have two (2) years of documented experience judging ama¬ 
teur boxing, professional boxing, professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, or profes¬ 
sional full-contact karate matches. [It is not necessary that this 
experience be obtained by judging professional boxing, pro¬ 
fessional wrestling, professional kickboxing, or professional 
full-contact karate.] 

(B) The office may require: 

1. The applicant take and pass a written test covering profes¬ 
sional boxing, professional wrestling, professional or amateur kick¬ 
boxing, professional or amateur mixed martial arts, and profes¬ 
sional full-contact karate; and 

2. The applicant may be required to have a physical examina¬ 
tion by a licensed physician to determine fitness to perform. 

AUTHORITY: section 317.006, RSMo [2016] Supp. 2018. This rule 
originally filed as 4 CSR 40-4.080. Original rule filed April 30, 
1982, effective Sept. 11, 1982. For intervening history, please consult 
the Code of State Regulations. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED AMENDMENT 


20 CSR 2040-4.090 Contestants. The office is amending sections 
(1), (3)-(8), (11)-(17), (20)-(21), and (25), replacing section (2), 
deleting section (22), adding new sections (25)-(26), and renumber¬ 
ing as necessary. 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(1) An applicant applying for a professional license or renewal as a 
contestant shall— 

(B) Be at least [sixteen (16)] eighteen (18) years of age except 
amateur kickboxing contestants; 

[(C) Submit a signed notarized affidavit from their legal 
guardian approving them to participate in a contest if he/she 
is under the age of eighteen (18);] 

[(D)J(C) Disclose in writing on a form provided by the office a 
complete medical history including any prior or existing medical 
conditions; 

[(E)]( D) Within [thirty (30)] sixty (60) days of application for 
licensure successfully complete a physical examination by physician 
with the designation “medical doctor” or “doctor of osteopathy” and 
submit a written statement from the physician attesting to the physi¬ 
cal and mental health of the applicant. The office may increase the 
[thirty-(30-)[ sixty-(60-) day limit under special circumstances 
approved by the office; and 

[(F) 7(E) Submit a certified copy of medical tests performed by a 
certified laboratory verifying the applicant is not infected with the 
human immunodeficiency virus (HIV) or hepatitis B or C virus. The 
medical tests shall not be dated more than [ninety (90)] three hun¬ 
dred sixty-five (365) days before the application is submitted. 

[(2) A contestant applying for renewal of a license shall— 

(A) Complete an application pursuant to section (2) of 20 
CSR 2040-2.011. Any person who provides incorrect infor¬ 
mation in an application for license as a contestant may be 
disciplined by the office; 

(B) Disclose in writing on a form provided by the office a 
complete medical history including any prior or existing med¬ 
ical conditions; 

(C) Within thirty (30) days of application for licensure suc¬ 
cessfully complete a physical examination by physician with 
the designation "medical doctor" or "doctor of osteopathy" 
and submit a written statement from the physician attesting 
to the physical and mental health of the licensee. The office 
may increase the thirty- (30-) day limit under special circum¬ 
stances approved by the office; and 

(D) Submit a certified copy of medical tests performed by 
a certified laboratory verifying the licensee is not infected 
with the human immunodeficiency virus (HIV) or hepatitis B 
or C virus. The medical tests shall not be dated more than 
ninety (90) days before the application is submitted.] 

(2) An applicant applying for an amateur license or renewal as a 
contestant shall— 

(A) Complete an application pursuant to section (2) of 20 CSR 
2040-2.011. Any person who provides incorrect information in an 
application for license as a contestant may be disciplined by the 
office; 

(B) Be at least eighteen (18) years of age, except for amateur 
kickboxing. 

(C) Disclose in writing on a form provided by the office a com¬ 
plete medical history including any prior or existing medical con¬ 
ditions; 

(D) Within sixty (60) days of application for licensure success¬ 
fully complete a physical examination by a physician with the des¬ 
ignation “medical doctor” or “doctor of osteopathy” and submit 
a written statement from the physician attesting to the physical 
and mental health of the applicant. The office may increase the 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 829 


sixty (60) day limit under special circumstance approved by the 
office; and 

(E) The office may require a contestant to submit a certified 
copy of medical tests performed by a certified laboratory verify¬ 
ing the applicant is not infected with the human immunodeficien¬ 
cy virus (HIV) or hepatitis B or C virus. The medical test shall 
not be dated more than three hundred sixty-five (365) days before 
the applicant is submitted or participates in a bout. 

(3) An applicant or contestant who does not pass the physical exam¬ 
ination or receives positive results from any of the tests required in 
section/s/ (1) [and (2) ] may be denied the right to fight for that 
bout. 

(4) All fees involved with medical examinations and/or tests required 
in section/s/ (1) [and (2),] in addition to any drug test required in 
section (11), shall be the responsibility of the promoter, contestant, 
or applicant. 

(5) Within forty-eight (48) hours before competing in any [profes¬ 
sional boxing, professional kickboxing, professional fuii-con- 
tact karate, or professional wrestling] bout or contest, each con¬ 
testant shall— 

(A) Each professional boxing, professional kickboxing, profes¬ 
sional wresting or professional mix martial arts contestant shall 

/S/submit certified copies of medical tests performed by a laboratory 
verifying that the applicant is not infected with the human immunod¬ 
eficiency virus (HIV) or hepatitis B or C virus. The medical tests 
shall not be dated more than [one hundred eighty (180)] three 
hundred sixty-five (365) days before the scheduled bout or contest 
in which the contestant will compete. A statement from a medical 
doctor or doctor of osteopathy indicating that the applicant has suc¬ 
cessfully completed a full course of vaccinations for hepatitis B may 
be submitted in lieu of the medical tests required by this rule for 
hepatitis B; 

(B) All /F/female contestants, including amateur mixed martial 
arts and amateur kickboxing, shall verify in writing that the con¬ 
testant has taken a reliable means of pregnancy testing and that the 
contestant is aware of her pregnancy status/./; and 

(C) A contestant who fails to comply with the requirements of this 
rule shall not be allowed to compete as a contestant in any profes¬ 
sional boxing, professional kickboxing, professional full-contact 
karate, [or] professional wrestling, professional mixed martial arts, 
amateur mixed martial arts, or amateur kickboxing bout or con¬ 
test. The office may discipline any contestant who fails to provide 
truthful and accurate information pursuant to this section. 

(6) The office will issue an identification card to each [boxing] con¬ 
testant for the purpose of registration pursuant to the Professional 
Boxing Safety Act of 1996, 15 U.S.C. section 6301 et seq., to each 
[boxer] contestant who so applies. The [boxer] contestant shall 
provide a recent photograph for the identification card and any other 
information that is requested by the office. An identification card 
cannot be substituted for the license to engage in professional box¬ 
ing/, held by the boxer]. All professional and amateur mixed 
martial arts, kickboxing, and full-contact karate contestants will 
be issued a picture identification card as approved by the 
Association of Boxing Commissions or other like organization’s 
officially approved registry for their respective sport. 

(7) Each contestant for professional boxing, professional or amateur 
kickboxing, professional or amateur mixed martial arts, or profes¬ 
sional full-contact karate, will be weighed in the presence of the pub¬ 
lic, his/her opponent, a representative of the office, and an official 
representing the promoter on scales approved by the office at any 
place designated by the office. If a contestant cannot be present at the 
designated time set by the office, a contestant may waive his/her 
rights under this section. 


(8) The contestant for professional boxing, professional or amateur 
kickboxing, professional or amateur mixed martial arts, or profes¬ 
sional full-contact karate must have all weights stripped from his/her 
body before he/she is weighed in, but male contestants may wear 
shorts. Female contestants may wear shorts and a sports bra. 

(11) The office may require a contestant to submit to a drug test. 
Failure to submit to a drug test upon notification by an inspector may 
result in disciplinary action being taken against the contestant’s 
license. All fees involved with a drug test are the responsibility of 
the contestant. 

(13) A [boxing] contestant shall present his/her identification card 
to the office representative at weigh-in for a bout and at any other 
time ordered by the office or its representative. Failure to possess 
the card may result in the [boxing] contestant being disallowed to 
participate in a bout. 

(14) A [boxing] contestant licensed by the office is subject to disci¬ 
plinary action by the office if the contestant knowingly: 

(B) Uses or attempts to use an identification card in an unlawful 
manner or in a manner that is not in the best interests of [profes¬ 
sional boxing] their respective sport; or 

(15) Each contestant must report to the representative of the office in 
charge of dressing rooms at least [thirty (30)] sixty (60) minutes 
before the scheduled time of the first bout of professional boxing, 
professional wrestling, professional or amateur kickboxing, profes¬ 
sional or amateur mixed martial arts, and professional full-contact 
karate contest. Failure to do so may result in the contestant being dis¬ 
allowed to participate in the bout. 

(16) Contestants shall at all times abide by the statutes and rules of 
Missouri governing professional boxing, professional wrestling, pro¬ 
fessional or amateur kickboxing, professional or amateur mixed 
martial arts, or professional full-contact karate. 

(17) Contestants shall at all times observe the directions and deci¬ 
sions of all officials and inspectors. 

(20) The belt of the trunks cannot extend above the waist line for 

professional boxing, professional or amateur kickboxing, or pro¬ 
fessional full-contact karate. 

(21) Each boxing, full-contact karate or [martial arts] kickboxing 
contestant must wear/;/— 

[(22) Each contestant should be dean and present a tidy 
appearance.] 

[(23) 7(22) The excessive use of petroleum jelly may not be used on 
the face or body of a contestant. The referees or the office’s repre¬ 
sentative in charge may cause any excessive petroleum jelly to be 
removed. 

[(24) 7(23) The office’s representative may determine whether head 
and facial hair presents any hazard to the safety of the contestant or 
his/her opponent or would interfere with the supervision and conduct 
of the bout. If the head and facial hair of the contestant present such 
a hazard or would interfere with the supervision and conduct of the 
bout, the contestant may not compete in the bout unless the circum¬ 
stances creating the hazard or potential interference are corrected to 
the satisfaction of the office’s representative. 

[(25) 7(24) A contestant will not wear any jewelry or other piercing 
accessories while competing in a bout. 

(25) Any professional or amateur mixed martial arts contestant 



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Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


who has competed as a boxer, kickboxer, wrestler, martial arts, 
or mixed martial arts contestant anywhere in the world will not 
be allowed to compete as a contestant in any professional or ama¬ 
teur mixed martial arts bout in Missouri until seven (7) days have 
elapsed from the date of the previous bout. 

(26) Any person who has competed as a professional boxer, pro¬ 
fessional kickboxer, professional wrestler, professional martial 
arts, or professional mixed martial arts contestant may not par¬ 
ticipate as an amateur contestant in a mixed martial arts event in 
the state of Missouri. The office may discipline the license of any 
contestant, promoter, matchmaker, or second who violates, or 
assists or enables another to violate, the provisions of this section. 

7(26)7(27) The office may honor the suspension of a contestant by an 
agency that regulates professional boxing, professional wrestling, 
professional or amateur kickboxing, professional or amateur 
mixed martial arts, and professional full-contact karate in another 
jurisdiction if the suspension is ordered for: 

(A) Medical safety; 

(B) A violation of a law or regulation governing professional box¬ 
ing, professional or amateur kickboxing, professional or amateur 
mixed martial arts, and professional full-contact karate which also 
exists in this state; or 

(C) Any other conduct which discredits professional boxing, pro¬ 
fessional or amateur kickboxing, professional or amateur mixed 
martial arts, and professional full-contact karate, as determined by 
the office. 

[(27) 7(28) The office may deny a contestant a license if their license 
to participate or compete as a boxer, wrestler, kickboxer, or full-con- 
tact karate participant has been denied, refused, or disciplined for a 
medical condition by another state, tribal athletic commission, terri¬ 
tory, federal agency, or country. The office shall not issue a license 
to a contestant who has suffered a cerebral hemorrhage of any type. 

(29) No amateur kickboxing contestant under eighteen (18) years 
of age may participate in a bout against a contestant who is more 
than two (2) years older. 

AUTHORITY: sectionls] 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-4.090. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will cost private entities 
approximately nine hundred eighty dollars ($980) annually thereafter 
for the life of the rule. It is anticipated that the costs will recur for 
the life of the rule, may vary with inflation, and are expected to 
increase at the rate projected by the Legislative Oversight 
Committee. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 



March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 831 


PRIVATE FISCAL NOTE 


I. RULE NUMBER 

Title 20 - Department of Insurance, Financial Institutions and Professional Registration 

Division 2040 - Office of Athletics 

Chapter 4 - Licensees and Their Responsibilities 

Proposed Rule - 20 CSR 2040-4.090 Contestants 


II. SUMMARY OF FISCAL IMPACT 


Estimate the number of 
entities by class which 
would likely be affected by 
the adoption of the 
proposed amendment: 

Classification by type of the business 
entities which would likely be 
affected: 

Estimated cost of compliance 
with the amendment by affected 
entities: 

20 

Contestants 

(Drug test @ $4) 

$80 

10 

Contestants 

(Additional drug test to confirm positive 
drug test @ S90) 

$900 


Estimated Annual Cost of Compliance 
for the Life of the Rule 

$980.00 


III. WORKSHEET 

See Table Above 

IV. ASSUMPTION 

l. The figures reported above are based on FY19 actuals. 

3. It is anticipated that the total cost will recur for the life of the rule, may vary with inflation and is 
expected to increase at the rate projected by the Legislative Oversight Committee. 




Page 832 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 4—Licensees and Their Responsibilities 

PROPOSED RULE 

20 CSR 2040-4.100 Inspectors 

PURPOSE: This rule defines the duties and responsibilities of 
inspectors. 

(1) The office shall assign inspectors as it deems necessary. 

(2) In all contests, contestants, promoters, matchmakers, judges, ref¬ 
erees, timekeepers, seconds, and physicians are under the direction 
of the office or its inspector(s) at all times. 

(3) Employees and inspectors of the office cannot have any interest 
in or connection with, either directly or indirectly, any promotion of 
either professional boxing, professional wrestling, professional or 
amateur kickboxing, professional or amateur mixed martial arts, or 
professional full-contact karate, in this state or have any interest, 
directly or indirectly, in any contest or contestant. 

(4) The office and its inspectors may supervise the sale of tickets, 
check the counting of receipts, and enforce all rules of the office. 

(5) The ticket taker immediately must deposit every admission ticket, 
pass, or complimentary ticket in a securely locked box. It may be 
opened only in the presence of the office’s inspector to see that all 
tickets or passes are carefully counted and reported to the office, 
along with the price of admission charged for each class of tickets 
and exchanges and the gross receipts of all tickets and exchanges. In 
lieu of colleting ticket stubs the office will accept a third party box 
office print out on the sales of all tickets including complimentary 
tickets to calculate the athletic tax due. 

(6) Before the start of a contest, an inspector must check all contes¬ 
tants, promoters, matchmakers, seconds, timekeepers, referees, and 
physicians for licenses issued by the office. Any of those persons 
without a current license issued by the office may not participate in 
the contest, until an application and fee has been received and the 
application is approved by the office. 

(7) An inspector must be present in the dressing rooms at the desig¬ 
nated time for weighing in contestants and inspecting all equipment. 

(8) An inspector must examine and approve all hand wrappings being 
placed on contestants. After approval, all handwraps will be initialed 
by the inspector present. 

(9) An inspector must be present when each contestant is being 
gloved. After approval of the gloving, the tape around the strings 
must be initialed by the inspector present. 

AUTHORITY: section 317.006, RSMo Supp. 2018. This rule original¬ 
ly filed as 4 CSR 40-5.010 and 20 CSR 2040-5.010. Original rule 
filed April 30, 1982, effective Sept 11, 1982. For intervening history, 
please consult the Code of State Regulations. Rescinded as 20 CSR 
2040-5.010 and readopted as 20 CSR 2040-4.100: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rule will not cost state agencies or 
political subdivisions more than five hundred dollars ($500) in the 
aggregate. 


PRIVATE COST: This proposed rule will not cost private entities 
more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rule with the Office of 
Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 5—Inspector Duties and Rules for Professional 
Boxing, Professional Wrestling, Professional Kickboxing, 
Professional Full-Contact Karate 

PROPOSED RESCISSION 

20 CSR 2040-5.010 Inspectors. This rule defined the duties and 
responsibilities of inspectors. 

PURPOSE: This rule is being rescinded and re-promulgated as 20 
CSR 2040-4.100 to make the sequence of the rules of the Missouri 
Office of Athletics more logical and cohesive and to incorporate 
recent statutory changes enacted in 2018. 

AUTHORITY: section 317.006, RSMo 2000. This rule originally filed 
as 4 CSR 40-5.010. Original rule filed April 30, 1982, effective Sept. 
11, 1982. For intervening history, please consult the Code of State 
Regulations. Rescinded, readopted, and moved to 20 CSR 2040- 
4.100: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 5 —[Inspector Duties and] Rules for 
Professional Boxing,Professional Wrestling, Professional 
and Amateur Kickboxing, and Professional Full-Contact 
Karate 

PROPOSED AMENDMENT 

20 CSR 2040-5.040 Rules for Professional Boxing. The office is 
amending the chapter title and sections (1), (2), (4)-(7), (10), (12), 
(16), and (23). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 833 


(1) No bout may exceed twelve (12) rounds nor be less than four (4) 
rounds. Rounds [involving male contestants] shall be no more 
than three (3) minutes in length with a one (1) minute rest period in 
between rounds. Rounds involving females [shall be no more 
than] may be reduced to two (2) minutes in length with a one (1) 
minute rest period between rounds. 

(2) Before a contest permit will be issued, each professional boxing 
contest [shall] may include a scheduled main bout of at least eight 
(8) rounds and at least one (1) semi-main bout of at least six (6) 
rounds. The remaining bouts may not be less than four (4) rounds 
each. A contest should have a minimum of four (4) bouts totaling not 
less than twenty-four (24) rounds. The Office of Athletics may waive 
any of these restrictions at its discretion. 

(4) Contestants shall only fight contestants in their own weight cate¬ 
gory unless permission is granted by the office. In no instance may 
the office waive the weight category requirements, when the contes¬ 
tant’s weight span exceeds ten (10) pounds excluding the weight clas¬ 
sifications in subsections (L) and (M) of this section. Following is the 
schedule of weight classification: 

(L) Cruiserweights 176- [190] 200 lbs. 

(M) Heavyweights over [ 190] 200 lbs. 

(5) Boxing Contestants. 

(B) No contestant under the age of eighteen (18) years shall be per¬ 
mitted to participate in a boxing contest. [No contestant under 
the age of twenty-one (21) shall be permitted to box more 
than six (6) rounds until s/he has participated in ten (10) or 
more professional bouts.] No contestant participating in his/her 
professional debut shall be permitted to box more than six (6) rounds 
in length for the first ten (10) professional bouts. Contestants may 
have to present a birth certificate or picture identification to the 
office or inspector. False statements of age or other information shall 
be cause for discipline of the contestant’s license. Contestants must 
complete all forms prescribed by the office. All contestants, upon 
request of the office or inspector, must furnish the office with a box¬ 
ing passport or an identification card (ID) issued from his/her home 
state and a federal identification card issued by the Association of 
Boxing Commissions. 

(C) Contestants in all licensed professional boxing contests shall 
be examined by a licensed physician at a time approved by the office 
and physical examinations must be completed at least one (1) hour 
before the contest time. The weigh-in will be within forty-eight (48) 
hours prior to the contest. Contestants will then have two (2) hours 
to make weight. The weights of the contestants or the class in which 
they will box must be announced at the ringside. In case of a substi¬ 
tution in a bout, the substitute contestant shall be subject to the same 
physical examination as other contestants and must be approved by 
the physician and office. Contestants failing to appear at the appoint¬ 
ed place and at the specified time to be examined and weighed, or 
who leave the area before weigh-ins or physical examinations are 
completed without permission of the office, may subject their license 
to discipline or may be denied the right to compete in the sched¬ 
uled bout. 

(6) If a contestant claims to be injured due to an accidental fall dur¬ 
ing the bout, the referee, at their discretion, may stop the bout and 
request the physician to make an examination. If the physician 
decides that the contestant has been injured and should not continue, 
s/he should so advise the referee. If the physician decides that the 
injured contestant may be able to continue, s/he may order up to a 
five- (5-) minute recovery period, after which s/he will make another 
examination and again advise the referee of the injured contestant’s 
condition. 

(7) If a contestant falls due to fatigue, or is knocked down by his/her 
opponent, s/he will be allowed ten (10) seconds to rise unassisted. 
Following a contestant's fall, his/her opponent shall go to the farthest 


neutral corner and remain there during the count. The referee shall 
stop counting if the opponent fails to go to the neutral corner, then 
resume the count where it was left off when the opponent goes to the 
neutral corner. A contestant who is knocked out or falls out of the 
ring and on to the floor is allowed up to twenty (20) seconds to 
return to the ring. 

(10) Preliminary contestants should be ready to enter the ring imme¬ 
diately after the finish of the preceding bout. Any contestant causing 
a delay by not being ready to immediately proceed when called may 
be subject to discipline or may be denied the right to compete in 
the scheduled bout. 

(12) No person other than the contestants and the referee shall enter 
the ring during a bout. There should be no standing or other distrac¬ 
tions by seconds [or managers] while the bouts are in progress. 
Offenders may be removed from the corners and their license may be 
subject to discipline. The physician may enter the ring if asked by the 
referee to examine an injury to a contestant. 

(16) Only discretional use of [Vaseline and/or similar] petroleum 
[based products] jelly, and nothing else will be allowed on the 
face, arms, or any part of the body. 

(23) The office may discipline the license of any contestant, [man¬ 
ager,] matchmaker, judge, second, or any official who is guilty of 
unfair dealings, unsportsmanlike conduct, protesting the decisions of 
the officials in an unsportsmanlike manner, or violating any rules. 
Any boxing second [or manager] who acts in an unsportsmanlike 
manner may immediately be removed from their contestant’s corner. 

AUTHORITY: section[s] 317.006, RSMo Supp. 2018, and section 
317.015, RSMo 2016. This rule originally filed as 4 CSR 40-5.040. 
Original rule filed April 30, 1982, effective Sept. 11, 1982. For inter¬ 
vening history, please consult the Code of State Regulations. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may fde a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 5 —[Inspector Duties and] Rules for 
Professional Boxing,Professional Wrestling, Professional 
and Amateur Kickboxing, and Professional Full-Contact 
Karate 

PROPOSED AMENDMENT 

20 CSR 2040-5.060 Rules for Professional and Amateur 
Kickboxing and Professional Full-Contact Karate. The office is 



Page 834 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


amending the chapter title, purpose statement, adding new sections 
(6), (11), (13), and (22), deleting section (10), renumbering as nec¬ 
essary, and amending sections (2), (5), (7), (10), (12), and (19). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

PURPOSE: This rule sets forth the official professional regulations 
of professional and amateur kickboxing and professional full-contact 
karate including kickboxing, [kung fu, tae kwan-doj or any form 
of martial arts. 

(2) All male contestants are required to wear a [foul-proof] groin 
protector. All female contestants [are] may be required to wear plas¬ 
tic breast protectors and a protective pelvic girdle. 

(5) The weigh-ins for professional and amateur combined events 
will be conducted within forty-eight (48) hours before the contest. 
The weigh-ins may be more than forty-eight (48) hours prior to the 
contest with special permission from the office. A contestant who 
fails to make the weight will be given up to two (2) hours to make 
weight. Any contestant who fails to make the weight may be disqual¬ 
ified. 

(6) For events that include amateur contestants only, all weigh-ins 
must be scheduled no earlier than 10:00 AM on the day of the 
event. There shall be no weight allowances for amateurs. 
Amateur contestants must compete within the weight classes list¬ 
ed in section (7) of this rule. No substitutes may be submitted 
after the weigh-in has begun unless approved by the office due to 
special circumstances. 

[(6)](1) Professional /C/comestants may only fight contestants in 
their own weight category unless permission is granted by the office. 
In no instance shall the office waive the weight category require¬ 
ments, when the contestant’s weight span exceeds ten (10) pounds 
excluding the weight classifications in subsections (L) and (M) of 
this section. Following is the schedule of weight classification: 

(L) Cruiserweights 176-77907 200 lbs. 

(M) Heavyweights over 7 7 90] 200 lbs. 

7(7)7(8) The referee has general supervision of the bout. S/he 
enforces the rules, promotes safety of the contestants, and ensures 
fair play. Only the inspector may overrule the referee if the referee is 
not enforcing the rules. Before starting a bout the referee shall ascer¬ 
tain from each contestant the name of his/her chief second responsi¬ 
ble for the conduct of the assistant seconds during the progress of the 
bout. The referee may call contestants together before each bout for 
final instructions, at which time each contestant may be accompanied 
by the chief second only. 

7(<S)7(9) The three (3) judges shall be stationed at ringside, each at a 
separate side. The judges will score each round on a ten- (10-) point 
must system and turn the scorecards over to the referee after each 
round. The referee will then hand the scorecards to the inspector. A 
final decision must be made before the judges may leave the area. 
Any erasures or changes on the card must be approved and initialed 
by the judge and inspector. 

7(9)7(10) The attending physician will have an adequate room in 
which to make the physical examination. Whenever a contestant, 
because of illness or injuries, is unable to take part in a contracted 
bout, s/he or his/her [manager] second must immediately report the 
fact to the inspector. The contestant will then submit to an examina¬ 
tion by a physician designated by the office. Contestants who have 
been knocked out will be kept lying down until they have recovered. 
When a contestant is knocked out, no one will touch him/her except 
the referee who will remove his/her mouthpiece, until the ringside 


physician enters the ring and personally attends to the contestant and 
issues necessary instructions to the contestant’s second(s). 

7(70) Rounds involving male contestants may be no more 
than three (3) minutes in length with a one (7) minute rest 
period between rounds. Rounds involving females may be no 
more than two (2) minutes in length with a one (1) minute 
rest period between rounds. The maximum number of 
rounds for males and females is twelve (12) rounds.] 

(11) No professional bout may exceed twelve (12) rounds nor be 
less than three (3) rounds. Rounds shall be no more than three 
(3) minutes in length with a one (1) minute rest period in between 
rounds. Round lengths may be reduced to as low as one (1) 
minute in length with a one (1) minute rest period between 
rounds. The maximum number of rounds for an amateur kick¬ 
boxing bout shall be five (5) rounds. 

7(77)7(12) Any contestant guilty of foul tactics in a round will be 
given an immediate warning or points may be deducted from the con¬ 
testant’s total score, or both, as determined by the referee. The use 
of foul tactics also may result in the disqualification of the contestant. 
The following tactics are considered fouls: 

(A) Headbutts, knee strikes, elbow strikes, or clubbing blows with 
the hand; 

(B) Striking the groin, woman’s breast, the spine, throat, collar¬ 
bone or that part of the body over the kidneys; 

(C) Palm heel strikes; 

(D) Antijoint techniques; 

(E) Jabbing the eye with the thumb of the glove; 

(F) Hitting with the glove open, or with the wrist or forearm; 

(G) Grabbing or holding onto an opponent’s leg or foot; 

(H) Holding an opponent with one hand and hitting with the other; 

(I) Leg checking the opponent’s leg or stepping on the opponent’s 
foot to prevent the opponent from moving or kicking; 

(J) Purposely going down without being hit; 

(K) Using abusive language in the ring; 

(L) Unsportsmanlike conduct; 

(M) Attacking on the break; 

(N) Attacking after the bell has sounded ending the round; 

(O) Intentionally pushing, shoving, or wrestling an opponent out 
of the ring; 

(P) Biting; [and] 

(Q) Linear or thrusting kicks directed at the knee including 
front kicks, side kicks and back kicks; 

(R) Amateur rule differences, no knee strikes to the head of 
any kind; and 

](Q) 7(S) Any other actions that are deemed fouls by the referee or 
inspector that are not described above may be called by the referee 
and appropriate action taken by the referee. 

7(72) Contestants may be subject to minimum kickboxing 
requirements pursuant to an agreement with the promoter 
and the office.] 

(13) Amateur contestants may clinch in order to immediately 
attack with a legal knee strike to the body only. If the knee 
attack and/or counter attack by the opponent is continuous and 
in the opinion of the referee productive, the referee may allow the 
knee strikes to continue up to five (5) seconds and the fighters 
shall be directed to break the clinch by the referee. 

(A) Amateur contestants may wear headgear and shin pads, 
however, if neither device will be worn in a bout, both contestants 
must mutually agree to this fact in the written bout agreement. 

(B) Amateur contestants may not wear gloves smaller than 
twelve (12) ounces. 

(C) Kickboxing may take place in a ring or in a cage with spe¬ 
cial permission of the office. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 835 


7(7317(14) A contestant who intentionally refuses to engage an oppo¬ 
nent for a prolonged period of time may receive an immediate warn¬ 
ing from the referee. If the contestant continues these tactics after a 
warning, a point will be deducted by the referee. 

7(74/7(15) The referee shall stop the bout for any of the following 
reasons: 

(A) The referee determines that one (1) of the contestants is clear¬ 
ly less experienced and/or skilled than his/her opponent to the extent 
that allowing the bout to continue would pose a substantial risk of 
serious harm or injury to the less-experienced/skilled contestant; 

(B) The referee decides that a contestant is not making his/her best 
effort; or 

(C) For any other reason the referee deems sufficient. 

[(15)](16) In the event of serious cuts or injuries, the referee shall 
summon the physician who decides if the bout should be stopped. 

7(7 6) 7(17) If a contestant fails or refuses to resume fighting when the 
bell sounds starting the next round, the referee will award a technical 
knockout to his/her opponent as of the last completed round. 

7(77/7(18) Before a felled contestant resumes fighting after slipping, 
falling, or being knocked to the floor, the referee shall wipe the con¬ 
testant’s gloves free of any foreign substance. 

7(75/7(19) When a contestant is knocked down, the referee shall 
order the opponent to retire to [the] a neutral corner of the ring, 
point to the corner, and immediately begin the count over the 
downed contestant. The referee will pick up the count from the time¬ 
keeper and audibly announce the passing seconds, accompanying the 
count with arm motions. Any time a contestant is knocked down, the 
referee will automatically begin a mandatory eight (8) count and 
then, if the contestant appears able to continue, will allow the bout 
to resume. If a contestant who is down, rises before the count of ten 
(10) is reached and goes down immediately without being struck, the 
referee shall resume the count where it was left off. If the contestant 
is still down when the referee calls the count of ten (10), the referee 
will wave both arms to indicate that the contestant has been knocked 
out and will signal that the opponent is the winner. If a round ends 
before the referee reaches ten (10), the contestant must still rise 
before the count of ten (10) to avert a knockout. A contestant will be 
declared knocked down when, as a result of any legal blow or strike, 
any portion of the contestant’s body other than the feet touches the 
floor. 

7(79/7(20) The referee, at his/her discretion, may request that the 
attending physician examine a contestant during the bout. Should the 
examination occur during the course of a round, the clock shall be 
stopped until the examination is completed. The physician may order 
the referee to stop the bout. The referee will then render the appro¬ 
priate decision. 

[(20) 7(21) Injuries sustained by fouls include: 

(A) Intentional Fouls. 

1. If an intentional foul causes an injury, and the injury is severe 
enough to terminate a bout immediately, the contestant causing the 
injury may lose by disqualification. 

2. If an intentional foul causes an injury and the bout is allowed 
to continue, the referee will notify the authorities and deduct two (2) 
points from the contestant who caused the foul. Point deductions for 
intentional fouls will be mandatory. 

3. If an intentional foul causes an injury and the injury results 
in the bout being stopped in a later round, the injured contestant will 
win by technical decision if s/he is ahead on the scorecards or the 
bout will result in a technical draw if the injured contestant is behind 
or even on the scorecards. 

4. If a contestant injures him/herself while attempting to inten¬ 


tionally foul his/her opponent, the referee will not take any action in 
his/her favor, and this injury will be the same as one (1) produced by 
a fair blow. 

5. If the referee feels that a contestant has conducted him/her¬ 
self in an unsportsmanlike manner s/he may stop the bout and dis¬ 
qualify the contestant; 

(B) Accidental Fouls. 

1. If an accidental foul causes an injury severe enough for the 
referee to stop the bout immediately, the bout will result in a no con¬ 
test if stopped before four (4) completed rounds. 

2. If an accidental foul causes an injury severe enough for the 
referee to stop the bout immediately after four (4) rounds have been 
completed, the bout will result in a technical decision awarded to the 
contestant who is ahead on the scorecards at the time the bout is 
stopped. A partial or incomplete round will be scored. If no action 
has occurred, the round should be scored as an even round. This is 
at the discretion of the judges. 

3. A contestant who is hit with an accidental low blow must 
continue after a reasonable amount of time but no more than five (5) 
minutes or s/he will lose the fight by technical knockout. 

(22) Before the office issues a permit for an event, the promoter 
shall provide the office proof of insurance providing for payment 
of each contestant in the amount of at least ten thousand 
($10,000) dollars in case of injury or at least ten thousand 
($10,000) dollars in case of death. No contestant may waive the 
insurance coverage. Promoter shall be responsible for deductible 
payments, if any. 

AUTHORITY: section 317.006, RSMo [2016] Supp. 2018. This rule 
originally filed as 4 CSR 40-5.060. Original rule filed March 12, 
1989, effective May 11, 1989. For intervening history, please consult 
the Code of State Regulations. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will cost private entities 
approximately sixty thousand dollars ($60,000) annually thereafter 
for the life of the rule. It is anticipated that the costs will recur for 
the life of the rule, may vary with inflation, and are expected to 
increase at the rate projected by the Legislative Oversight 
Committee. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 



Page 836 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


PRIVATE FISCAL NOTE 


I. RULE NUMBER 

Title 20 - Department of Insurance, Financial Institutions and Professional Registration 
Division 2040 - Office of Athletics 

Chapter 5 - Rules for Professional Boxing, Professional Wrestling, Professional 
Kickboxing, Professional Fulll-Contact Karate and Amateur Kickboxing 

Proposed Rule - 20 CSR 2040-5.060 Rules for Professional Kickboxing and Professional 
Full-Contact Karate 


II. SUMMARY OF FISCAL IMPACT 


-—- 

Estimate the number of 

entities by class which 
would likely be affected by 
the adoption of the 
proposed amendment: 

Classification by type of the business 
entities which would likely be 
affected: 

Estimated cost of compliance 
with the amendment by affected 
entities: 

25 

Promoters 

(Medical Insurance for professional 
boxing, kickboxing, full contact karate 
contestants @ $1,000) 

$25,000 

25 

Promoters 

(Medical Insurance for mixed martial 
arts contestants @ $ 1,400) 

S35-000 


Estimated Annual Cost of Compliance 
for the Life of the Rule 

$60,000 


III. WORKSHEET 

See Tabic Above 

IV. ASSUMPTION 

1. The figures reported above are based on FY19 actuals. 

3. It is anticipated that the total cost will recur for the life of the rule, may vary with inflation and is 
expected to increase at the rate projected by the Legislative Oversight Committee. 




March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 837 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 6—Facilities 

PROPOSED AMENDMENT 

20 CSR 2040-6.010 Facility and Equipment Requirements. The 

office is amending sections (1) and (5), adding new section (4), and 
renumbering as necessary. 

PURPOSE: This rule is being amended to consolidate rules from a 
chapter that is being rescinded to add the requirement for a cage. 

(1) The ring may not be less than sixteen (16) nor more than twenty 
feet (20') inside the ropes. The apron of the ring floor shall extend 
beyond the ropes not less than two feet (2'). The ring shall not be 
more than four feet (4') above the floor of the building or grounds of 
an outdoor arena and shall be provided with suitable steps for the use 
of contestants, [managers,] seconds, and officials. 

(4) Requirements. The fighting area shall be constructed in a 
manner that does not pose a substantial risk to the safety or 
health of any person. The fighting area shall be no smaller than 
eighteen by eighteen feet (18' xl8') and no larger than thirty-two 
by thirty-two feet (32' x32') and shall meet the following require¬ 
ments: 

(A) Floors. The floor of the fighting area must have a canvas, 
vinyl, or plastic rubberized covering that shall be padded with at 
least a one inch (1") layer of foam padding extending over the 
edge of the platform of the fighting area. Materials that may 
gather in lumps or ridges during the bout or contest may not be 
used. The platform of the fighting area canvas shall be no more 
than four feet (4') above the floor of the building and shall have 
suitable steps or ramps for use by officials and the contestants; 

(B) Posts. All posts in or around the fighting area shall be 
made of metal not more than six inches (6") in diameter, extend¬ 
ing from the floor of the building to a minimum height of fifty- 
eight inches (58") above the fighting area floor and shall be prop¬ 
erly padded in a manner approved by the office; 

(C) Fencing. The fighting area shall be enclosed. The enclosure 
shall— 

1. Be made of materials that will not allow a contestant to 
easily fall out of the space or break through it onto the floor or 
spectators, such as vinyl-coated chain link fencing; 

2. Provide two (2) separate entries onto the fighting area 
canvas that are sufficient to allow easy access to the fighting area 
by officials and emergency personnel; 

3. Not obstruct or limit the supervision and regulation of the 
bout by the officials or office representatives; and 

4. Not inhibit the official judging of the bout in any manner; 

(D) All metal parts of the enclosure and fighting area shall be 
covered and padded in a manner approved by the office and shall 
not be abrasive to the contestants; 

(E) Tables immediately surrounding the fighting area shall be 
no higher than the fighting area platform level; and 

(F) The fighting area will be approved by the inspector, includ¬ 
ing, all padding or enclosures. Fighting areas that are not 
approved by the inspector may not be used for any mixed martial 
arts bout or contest. 

[(4) 7(5) The gong, bell, buzzer, or horn which is used must be suf¬ 
ficiently loud so that the officials and contestants can hear it clearly. 
The ten- (10-) second warning may be by whistle or buzzer. 

[(5) 7(6) Spectator seats shall not be closer than eight feet (8') from 
the outside edge of the apron of the ring. A physical barrier shall be 


placed designating eight feet (8') from the ring. The ringside area 
shall be under the jurisdiction of the office for the use of designated 
working officials, contestants, their seconds, judges, referees, physi¬ 
cians, [announcer,] and medical representatives. Promoters are 
responsible for seeing that the working area is controlled and free of 
nonessential individuals. The promoter is also responsible for ensur¬ 
ing that no person is smoking within eight feet (8') of the ring. 

[(6)](1) All gloves will be furnished by the promoter and shall be 
new or in good condition. 

[(7)](8) Promoters must have an extra set of gloves for each size 
glove used during the contest, to be used in case gloves are broken 
or in any way damaged during the course of a bout. 

[(8) 7(9) Scales shall be furnished by the promoter and shall be thor¬ 
oughly tested and approved by the inspector prior to use in connec¬ 
tion with any contest. 

AUTHORITY: section 317.006, RSMo [2016] Supp. 2018. This rule 
originally filed as 4 CSR 40-6.010. Original rule filed April 30, 
1982, effective Sept. 11, 1982. For intervening history, please consult 
the Code of State Regulations. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 7—Disciplinary and Appeals Procedures 

PROPOSED AMENDMENT 

20 CSR 2040-7.010 Disciplinary and Appeals Procedures. The 

office is adding new sections (5) and (6). 

PURPOSE: This rule is being amended to clarify the discipline and 
appeal procedures. 

(5) If a contestant in a bout tests positive for a prohibited sub¬ 
stance during competition the result of the bout shall be changed 
to a “no contest” provided, the contestant was judged to be the 
winner of the bout in which the prohibited substance was used. 
Any win bonus pursuant to the written bout agreement that was 
paid must be returned to the promoter. 

(6) Any complaint filed must provide specific rule(s) that were 
violated and provide evidence there was a misapplication of the 
rule. 

AUTHORITY: section 317.006, RSMo [2016] Supp. 2018. This rule 
originally filed as 4 CSR 40-7.010. Original rule filed April 30, 
1982, effective Sept. 11, 1982. For intervening history, please consult 



Page 838 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


the Code of State Regulations. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: Dus proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may fde a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.010 Definitions. This rule defined various terms 
used in the rules governing mixed martial arts. 

PURPOSE: TMs rule is rescinded to consolidate the definitions used 
by the Office of Athletics into 20 CSR 2040-1.021. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2000. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Rescinded: Filed 
Jan. 25, 2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.040 Tickets and Taxes. This rule established ticket¬ 
ing procedures for professional mixed martial arts and establishes 
criteria and procedures for the calculation and payment of the taxes 
established by section 317.006, RSMo. 

PURPOSE: This rule is being rescinded and consolidated into 20 
CSR 2040-3.011. 


AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.050 Contestants. This rule established criteria and 
licensing guidelines for mixed martial arts contestants. 

PURPOSE: This rule is being rescinded and consolidated into 20 
CSR 2040-4.090. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.060 Inspectors. This rule defined the duties and 
responsibilities of inspectors. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 839 


PURPOSE: The rule is being consolidated into 20 CSR 2040-4.100. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.070 Judges. This rule defined the duties and respon¬ 
sibilities for mixed martial arts judges. 

PURPOSE: This rule is being rescinded to consolidate into 20 CSR 
2040-4.080. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.080 Matchmakers. This rule defined the duties and 
responsibilities of matchmakers for mixed martial arts bouts/con¬ 
tests. 


PURPOSE: This rule is being rescinded to consolidate into 20 CSR 
2040-4.020. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.090 Physicians. This rule defined the responsibili¬ 
ties of physicians for professional mixed martial arts bouts/contests. 

PURPOSE: The rule is being rescinded to consolidate into 20 CSR 
2040-4.040. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: Dus proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.100 Promoters. This rule defined the duties and 
responsibilities of promoters for mixed martial arts bouts/contests. 



Page 840 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


PURPOSE: The rule is being rescinded to consolidate into 20 CSR 
2040-4.015. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.110 Referees. This rule defined the duties and 
responsibilities of mixed martial arts referees. 

PURPOSE: This rule is being rescinded to consolidate into 20 CSR 
2040-4.030. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.120 Seconds. This rule defined the duties and 
responsibilities of seconds for a mixed martial arts contestant. 


PURPOSE: The rule is being rescinded to consolidate into 20 CSR 
2040-4.070. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.130 Timekeepers. This rule defined the duties and 
responsibilities of timekeepers. 

PURPOSE: This rule is being rescinded to consolidate into 20 CSR 
2040-4.050. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter [8] 5— [Mixed Martial Arts] Rules for 
Professional Boxing, Professional Wrestling, Professional 
and Amateur Kickboxing, and Professional Full-Contact 
Karate 

PROPOSED AMENDMENT 

20 CSR 2040-/5. 14015.070 Fouls. The office is moving this rule’s 
chapter, adding new sections (2)-(ll) and renumbering as necessary. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 841 


PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(2) Any contestant competing in an amateur bout may not cur¬ 
rently or ever have been a professional fighter in any contact 
sport including, but not limited to, boxing, kickboxing, full-con- 
tact karate, martial arts, or mixed martial arts. 

(3) The maximum number of rounds for an amateur mixed mar¬ 
tial arts contest shall be three (3). 

(4) The maximum length of a round for an amateur mixed mar¬ 
tial arts bout shall be three (3) minutes with one (1) minute rest 
between rounds. 

(5) The minimum glove size shall be four (4) ounces and the max¬ 
imum glove size shall be eight (8) ounces. 

(6) Neoprene ankle wraps or elbow pads are optional. 
Contestant may tape their ankles and have a neoprene wrap or 
similar material covering the tape. 

(7) No elbow strikes of any kinds. 

(8) For the first five (5) sanctioned amateur bouts there shall be 
a prohibition of knee strikes to the head of an opponent during 
an amateur mixed martial arts contest. Both contestant may 
mutually agree to allow knees strikes during a bout after the fifth 
sanctioned bout by each contestant. A sanctioned fight is a bout 
that is sanctioned by a state or tribal agency charged with legal 
regulatory authority to regulate amateur mixed martial arts. 

(9) No twisting leg submissions. 

(10) An amateur mixed martial arts contestant will be required 
to have a minimum of six (6) sanctioned amateur bouts with a 
winning record prior to being permitted to compete as a profes¬ 
sional mixed martial arts contestant in Missouri. 

(11) Amateur contestants shall not receive any valuable consider¬ 
ation for their participation in an amateur event including but 
not limited to a purse, percentage of ticket sales, and/or discounts 
for gym training fees. No more than one hundred ($100) dollars 
may be paid to an amateur contestant for travel expenses for par¬ 
ticipation in a bout. 

[(2)1(12) Injuries Sustained by Fouls. 

[(3)1(13) Except as provided herein, any contestant guilty of foul tac¬ 
tics in a round shall be given an immediate warning or points may be 
deducted from the contestant’s total score, or both, as determined by 
the referee. The use of foul tactics may also result in the disqualifi¬ 
cation of the contestant. 

[(4)1(14) A contestant who intentionally refuses to engage an oppo¬ 
nent for a prolonged period of time may receive an immediate warn¬ 
ing from the referee. If the contestant continues these tactics after a 
warning, a point(s) may be deducted by the referee. 

AUTHORITY: section 317.001, RSMo 2016 and section 317.006, 
RSMo [2016] Supp. 2018. Original rule filed April 3, 2007, effec¬ 
tive Oct. 30, 2007. Amended: Filed March 20, 2018, effective Sept. 
30, 2018. Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 


PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED AMENDMENT 

20 CSR 2040-8.160 Attire and Equipment. The office is amending 
sections (1), (2), and (4). 

PURPOSE: This rule is being amended to implement House Bill 
1388 signed into law and effective August 28, 2018. 

PURPOSE: Hus rule establishes minimum guidelines for the 
hygiene, attire, and equipment authorized for professional mixed 
martial arts contestants. 

(1) Physical Appearance. All contestants in a [professional] mixed 
martial arts bout or contest shall present a clean and tidy appearance 
and shall comply with the following: 

(C) No substance other than [Vaseline] petroleum jelly and/or a 
similar petroleum based product may be allowed on the face, arms, 
or any part of the body. Use of excessive [Vaseline] petroleum jelly 
and/or similar petroleum based products is prohibited. 

(2) Attire and Equipment. All contestants shall comply with the fol¬ 
lowing: 

(C) Knee pads, elbow pads, breast protectors, footwear, shoes, or 
shin guards shall not be allowed for professional contestants; 

(E) Male contestants shall wear a [foul-proof] groin protector. 
Female contestants may wear a pelvic protector at the option of the 
contestant; 

(4) Gloves. 

(A) Mixed martial arts contestants shall wear gloves that are 
appropriate in weight for the fighter and which shall be no less than 
four ounces (4 oz.) and no more than [ten ounces (10 oz.)] eight 
ounces (8 oz.) in weight. Contestants competing against each other 
in the same bout shall wear the same sized gloves. 

AUTHORITY: sections 317.001, RSMo 2016 and section 317.006, 
RSMo Supp. 2018. Original rule filed April 3, 2007, effective Oct. 
30, 2007. Amended: Filed March 20, 2018, effective Sept. 30, 2018. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 



Page 842 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED AMENDMENT 

20 CSR 2040-8.170 Weigh-Ins. The office is amending section (1) 
and adding section (5). 

PURPOSE: This ride is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 

(1) The weigh-in for professional events along with events includ¬ 
ing both amateur and professional bouts shall be conducted by the 
office within forty-eight (48) hours before the contest. Weigh-ins may 
be conducted more than forty-eight (48) hours prior to the contest 
with special permission from the office. 

(5) For amateur events only, all weigh-ins must be scheduled no 
earlier than 10:00 AM on the date of the event. There shall be 
no weight allowances for amateurs. Amateur contestants must 
compete within the weight classes listed in 20 CSR 2040-8.150(1). 
No substitutes may be submitted after the weigh-in has begun 
unless approved by the office due to special circumstances. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Amended: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athletic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED AMENDMENT 

20 CSR 2040-8.180 Rules for Bouts/Contests. The office is amend¬ 
ing section (5) and deleting section (12). 

PURPOSE: This rule is being amended to implement House Bill 1388 
signed into law and effective August 28, 2018. 


PURPOSE: This rule establishes general rules for conducting mixed 
martial arts bouts/contests. 

(5) No [professional] mixed martial arts bout shall be advertised or 
promoted as a championship bout unless it has the specific approval 
of the office. 

[(12) If amateur bouts and professional mixed martial arts 
bouts are scheduled during the same contest or event, the 
professional mixed martial arts bouts shall only be held after 
the completion of all amateur bouts.] 

AUTHORITY: sections] 317.001, RSMo 2016 and section 317.006, 
RSMo [2016] 2018. Original rule filed April 3, 2007, effective Oct. 
30, 2007. Amended: Filed March 20, 2018, effective Sept. 30, 2018. 
Amended: Filed Jan. 25, 2019. 

PUBLIC COST: This proposed amendment will not cost state agen¬ 
cies or political subdivisions more than five hundred dollars ($500) 
in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the 
Office of Athletics, PO Box 1335, Jefferson City, MO 65102, by fac¬ 
simile at (573) 751-5649, or via email at athIetic@pr.mo.gov. To be 
considered, comments must be received within thirty (30) days after 
publication of this notice in the Missouri Register. No public hearing 
is scheduled. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 
Division 2040—Office of Athletics 
Chapter 8—Mixed Martial Arts 

PROPOSED RESCISSION 

20 CSR 2040-8.190 Facility and Equipment Requirements. This 
rule defined the minimum requirements for facilities and equipment 
used for mixed martial arts bouts/contests. 

PURPOSE: This rule is being rescinded to consolidate into 20 CSR 
2040-6.010. 

AUTHORITY: sections 317.001 and 317.006, RSMo 2016. Original 
rule filed April 3, 2007, effective Oct. 30, 2007. Amended: Filed 
March 20, 2018, effective Sept. 30, 2018. Rescinded: Filed Jan. 25, 
2019. 

PUBLIC COST: This proposed rescission will not cost state agencies 
or political subdivisions more than five hundred dollars ($500) in the 
aggregate. 

PRIVATE COST: This proposed rescission will not cost private enti¬ 
ties more than five hundred dollars ($500) in the aggregate. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed rescission with the Office 
of Athletics, PO Box 1335, Jefferson City, MO 65102, by facsimile at 
(573) 751-5649, or via email at athletic@pr.mo.gov. To be consid¬ 
ered, comments must be received within thirty (30) days after publi¬ 
cation of this notice in the Missouri Register. No public hearing is 
scheduled. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 843 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

Division 2200—State Board of Nursing 
Chapter 4—General Rules 

PROPOSED AMENDMENT 

20 CSR 2200-4.010 Fees. The board is amending subsections (1)(A) 
and (B). 

PURPOSE: This amendment eliminates the examination fee. 

(1) The following fees are established by the State Board of Nursing: 


[(A) Examination Fee—Registered Professional 

Nurse (RN) $ 45] 

/"7.7(A) Reexamination Fee—Registered Professional 

Nurse (RN) $ 40 

[(B) Examination Fee—Licensed Practical Nurse 

(LPN) $41] 

77.7(B) Reexamination Fee—Licensed Practical 

Nurse (LPN) $ 40 


AUTHORITY: [sections 324.001.10 and 335.036, RSMo 
Supp. 2010 and] section 335.046, RSMo [2000] 2016, and sec¬ 
tions 324.001.10 and 335.036, RSMo Supp. 2018. This rule origi¬ 
nally filed as 4 CSR 200-4.010. Emergency ride filed Aug. 13, 1981, 
effective Aug. 23, 1981, expired Dec. 11, 1981. Original rule filed 
Aug. 13, 1981, effective Nov. 12, 1981. For intervening history, 
please consult the Code of State Regulations. Amended: Filed Jan. 
25, 2019. 

PUBLIC COST: This proposed amendment will cost state agencies 
two hundred twenty-nine thousand two hundred dollars ($229,200) 
annually for the life of the rule. It is anticipated that the costs will 
recur for the life of the rule, may vary with inflation, and are expect¬ 
ed to increase at the rate projected by the Legislative Oversight 
Committee. 

PRIVATE COST: This proposed amendment will save private entities 
approximately two hundred twenty-nine thousand two hundred dol¬ 
lars ($229,200) annually for the life of the rule. It is anticipated that 
the costs will recur for the life of the rule, may vary with inflation 
and are expected to increase at the rate projected by the Legislative 
Oversight Committee. 

NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in 
support of or in opposition to this proposed amendment with the State 
Board of Nursing, Lori Scheidt, Executive Director, PO Box 656, 
Jefferson City, MO 65102, by fax at (573) 751-0075, or via email at 
nursing@pr.mo.gov. To be considered, comments must be received 
within thirty (30) days after publication of this notice in the Missouri 
Register. No public hearing is scheduled. 



Page 844 


Proposed Rules 


March 1, 2019 
Vol. 44, No. 5 


PUBLIC FISCAL NOTE 


I. RULE NUMBER 

Title 20 -Department of Insurance, Financial Institutions and Professional Registration 

Division 2200—State Board of Nursing 

Chapter 4 - General Rules 

Proposed Amendment to 20 CSR 2200-4.010 Fees 


n. SUMMARY OF FISCAL IMPACT 
Estimated Fiscal Impact_ 


Affected Agency or Political Subdivision 

Estimated Loss of Revenue 

State Board of Nursing 

(S229,200) 


Estimated Loss of Revenue 
Annually for the Life of the Rule 

($229,200) 


III. WORKSHEET 

See Private Entity Fiscal Note 

IV. ASSUMPTION 

1. The total loss of revenue is based on the cost savings reflected in the Private Entity Fiscal Note filed 
with this amendment. 

2. The board utilizes a rolling five year financial analysis process to evaluate its fund balance, establish 
fee structure, and assess budgetary needs. The five year analysis is based on the projected revenue, 
expenses, and number of licensees. Based on the board’s recent five year analysis, the board voted 
to eliminate the examination fee for RNs and LPNs. 

3. It is anticipated that the total decrease in revenue will recur for the life of the rule, may vary with 
inflation, and is expected to increase at the rate projected by the Legislative Oversight Committee. 


March 1, 2019 
Yol. 44, No. 5 


Missouri Register 


Page 845 


PRIVATE FISCAL NOTE 


I. RULE NUMBER 

Title 20 -Department of Insurance, Financial Institutions and Professional Registration 
Division 2200—State Board of Nursing 
Chapter 4 - General Rules 

Proposed Amendment to 20 CSR 2200-4.010 Fees 

II. SUMMARY OF FISCAL IMPACT 


Estimate the number of entities by 
class which vvould likely be affected 
by the adoption of the proposed 
amendment: 

Classification by type of the business 
entities which would likely be affected: 

Estimated cost of compliance 
with the amendment by 
affected entities: 

4,000 

Registered Professional Nurse Examination Fee 
(Deleted Fee @ $45) 

$180,000 

1,200 

Licensed Practical Nurse Examination Fee 
(Deleted Fee @ $41) 

$49,200 

I 


Estimated Annual Cost Savings 
for the Life of the Rule 

$229,200 


III. WORKSHEET 

See Table Above 

IV. ASSUMPTION 

1. The above figures are based on FY19-21 projections. 

2. The above fee amounts include the educational surcharge of one dollar ($1) for practical nurses 
and five dollars ($5) for professional nurses. The surcharge funds are deposited in the 
professional and practical nursing student loan and nurse repayment fund. Accordingly, that fund 
will decrease by twenty-one thousand two hundred dollars ($21,200) biennially as a result of 
deletion of the examination fees. 

3. it is anticipated that the total fiscal savings will recur for the life of the rule, may vary with 
inflation, and is expected to increase at the rate projected by the Legislative Oversight Committee. 

Note: The board is statutorily obligated to enforce and administer the provisions of sections 335.001 to 
335.420, RSMo. Pursuant to section 335.036, RSMo, the division shall by rule and regulation set 
the amount of fees authorized by sections 335.001 to 335.420, RSMo, at a level to produce 
revenue which will not substantially exceed the cost and expense of administering sections 
335.001 to 335.420. 



Missouri 

Register 


Orders of Rulemaking 


March 1, 2019 
Vol. 44, No. 5 


T his section will contain the final text of the rules proposed 
by agencies. The order of rulemaking is required to con¬ 
tain a citation to the legal authority upon which the order or 
rulemaking is based; reference to the date and page or pages 
where the notice of proposed rulemaking was published in 
the Missouri Register, an explanation of any change between 
the text of the rule as contained in the notice of proposed 
rulemaking and the text of the rule as finally adopted, togeth¬ 
er with the reason for any such change; and the full text of 
any section or subsection of the rule as adopted which has 
been changed from that contained in the notice of proposed 
rulemaking. The effective date of the rule shall be not less 
than thirty (30) days after the date of publication of the revi¬ 
sion to the Code of State Regulations. 

he agency is also required to make a brief summary of 
the general nature and extent of comments submitted in 
support of or opposition to the proposed rule and a concise 
summary of the testimony presented at the hearing, if any, 
held in connection with the rulemaking, together with a con¬ 
cise summary of the agency’s findings with respect to the 
merits of any such testimony or comments which are 
opposed in whole or in part to the proposed rule. The ninety- 
(90-) day period during which an agency shall file its order of 
rulemaking for publication in the Missouri Register begins 
either: 1) after the hearing on the proposed rulemaking is 
held; or 2) at the end of the time for submission of comments 
to the agency. During this period, the agency shall file with 
the secretary of state the order of rulemaking, either putting 
the proposed rule into effect, with or without further changes, 
or withdrawing the proposed rule. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 2—Capital Improvement and Maintenance 
Budget 


By the authority vested in the Director of the Office of Administration, 
Division of Facilities Management, Design and Construction under 
section(s) 8.320, 8.330, 8.360 and 33.220, RSMo 2016, the Director 
of the Office of Administration, Division of Facilities Management, 
Design and Construction rescinds a rule as follows: 

1 CSR 30-2.030 Assessment Program Planning is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2813). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 2—Capital Improvement and Maintenance 
Budget 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.320, 8.360 and 33.220, RSMo 2016, the Division of Facilities 
Management, Design and Construction rescinds the rule as follows: 

1 CSR 30-2.040 Budget Preparation is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 MoReg 
2813). No changes have been made to the proposed rescission, so it is 
not reprinted here. This proposed rescission becomes effective thirty 
(30) days after publication in the Code of State Regulations. 



ORDER OF RULEMAKING SUMMARY OF COMMENTS: No comments were received. 


By the authority vested in the Director of the Office of Administration, 
Division of Facilities Management, Design and Construction under 
section(s) 8.320, 8.360 and 33.220, RSMo 2016, the Director of the 
Office of Administration, Division of Facilities Management, Design 
and Construction rescinds a rule as follows: 

1 CSR 30-2.020 Definitions is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2813). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 2—Capital Improvement and Maintenance 
Budget 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.320 and 8.360, RSMo 2016, the Division of Facilities 
Management, Design and Construction rescinds the rule as follows: 

1 CSR 30-2.050 Budget Form Completion and Submission 
is rescinded. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 2—Capital Improvement and Maintenance 
Budget 

ORDER OF RULEMAKING 


A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2814). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


846 





March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 847 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 3—Capital Improvement and Maintenance 
Program 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.310 and 8.320, RSMo 2016, the Division of Facilities 
Management, Design and Construction rescinds the rule as follows: 

1 CSR 30-3.010 Objectives and Definitions is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2814). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 3—Capital Improvement and Maintenance 
Program 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.310 and 8.320, RSMo 2016, the Division of Facilities 
Management, Design and Construction rescinds the rule as follows: 

1 CSR 30-3.020 Project Definition and Fund Allocation 
is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2814). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 

Chapter 3—Capital Improvement and Maintenance 
Program 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.291, RSMo 2016, the Division of Facilities Management, Design 
and Construction rescinds the rule as follows: 

1 CSR 30-3.035 Project Selection/Bidding Methods is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 


MoReg 2814-2815). No changes have been made to the proposed 
rescission, so it is not reprinted here. This proposed rescission 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 30—Division of Facilities Management, 
Design and Construction 
Chapter 3—Facility Maintenance and Operation 

ORDER OF RULEMAKING 

By the authority vested in the Office of Administration, Division of 
Facilities Management, Design and Construction, under section(s) 
8.320 and 8.360, RSMo 2016, the Division of Facilities Management, 
Design and Construction rescinds the rule as follows: 

1 CSR 30-4.010 Objectives and Definitions is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2815). No changes have been made to the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 40—Purchasing and Materials Management 
Chapter 1—Procurement 

ORDER OF RULEMAKING 

By the authority vested in the secretary of state under section 
536.023, RSMo 2016, the secretary rescinds a rule as follows: 

1 CSR 40-1.010 Organization is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on November 15, 2018 (43 
MoReg 3226-3227). No changes have been made in the proposed 
rescission, so it is not reprinted here. This proposed rescission 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 40—Purchasing and Materials Management 
Chapter 1—Procurement 

ORDER OF RULEMAKING 

By the authority vested in the secretary of state under section 
536.023, RSMo 2016, the secretary rescinds a rule as follows: 

1 CSR 40-1.030 Definitions is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on November 15, 2018 (43 
MoReg 3227). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 



Page 848 


Orders of Rulemaking 


March 1, 2019 
Vol. 44, No. 5 


effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 40—Purchasing and Materials Management 
Chapter 1—Procurement 

ORDER OF RULEMAKING 

By the authority vested in the secretary of state under section 
536.023, RSMo 2016, the secretary rescinds a rule as follows: 

1 CSR 40-1.040 Authority Delegations is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on November 15, 2018 (43 
MoReg 3227). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 40—Purchasing and Materials Management 
Chapter 1—Procurement 

ORDER OF RULEMAKING 

By the authority vested in the secretary of state under section 
536.023, RSMo 2016, the secretary amends a rule as follows: 

1 CSR 40-1.050 Procedures for Solicitation, Receipt of Bids, and 
Award and Administration of Contracts is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on November 15, 
2018 (43 MoReg 3227-3237). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 1—OFFICE OF ADMINISTRATION 
Division 40—Purchasing and Materials Management 
Chapter 1—Procurement 

ORDER OF RULEMAKING 

By the authority vested in the secretary of state under section 
536.023, RSMo 2016, the secretary rescinds a rule as follows: 

1 CSR 40-1.090 Waiver of Procedures Contained in Chapter 34, 
RSMo, Related to Cost and Pricing is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on November 15, 2018 (43 
MoReg 3237). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 10—DEPARTMENT OF NATURAL RESOURCES 
Division 130—State Environmental Improvement and 
Energy Resources Authority 
Chapter 1—Applications 

ORDER OF RULEMAKING 

By the authority vested in the State Environmental Improvement and 
Energy Resources Authority under section 260.035.1(23), RSMo 
2016, the authority amends a rule as follows: 

10 CSR 130-1.010 Definitions is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was publichsed in the Missouri Register on November 
15, 2018 (43 MoReg 3237-3238). No changes have been made to the 
text of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 10—DEPARTMENT OF NATURAL RESOURCES 
Division 130—State Environmental Improvement and 
Energy Resources Authority 
Chapter 1—Applications 

ORDER OF RULEMAKING 

By the authority vested in the State Environmental Improvement and 
Energy Resources Authority under section 260.035.1(23), RSMo 
2016, the authority amends a rule as follows: 

10 CSR 130-1.020 Application Forms and Fees is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was publichsed in the Missouri Register on November 
15, 2018 (43 MoReg 3238-3240). No changes have been made to the 
text of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 15—Division of Aging 
Chapter 19—Special Inspection Standards 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, 
Division of Aging, under section 660.017, RSMo 2016, the division 
rescinds a rule as follows: 

13 CSR 15-19.010 Standards for Inspection of Facilities or 
Premises Funded by Federal Departments Other Than Health and 
Human Services is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2853). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 849 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 35—Children’s Division 
Chapter 73—Child Placing Agencies 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, 
Children’s Division, under sections 207.020 and 660.017, RSMo 
2016, the division amends a rule as follows: 

13 CSR 35-73.012 Basis for Licensure and Licensing Procedures 
is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2857). No changes have been made in the text of 
the proposed amendment, so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: The Department of Social Services, 
Children’s Division received one (1) comment from a staff member. 

COMMENT #1: Aaron Mealy, Administrative Rules Assistant, 
Division of Legal Services, Department of Social Services, respect¬ 
fully requested that the chapter name on the final order be written as 
“Chapter 73—Child Placing Agencies”. 

RESPONSE AND EXPLANATION OF CHANGE: The department 
agrees and will be changing the chapter title. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 35—Children’s Division 
Chapter 73—Child Placing Agencies 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, 
Children’s Division, under sections 207.020 and 660.017, RSMo 
2016, the division amends a rule as follows: 

13 CSR 35-73.030 Personnel Practices and Personnel is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2858). No changes have been made in the text of 
the proposed amendment, so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: The Department of Social Services, 
Children’s Division received one (1) comment from a staff member. 

COMMENT #1: Aaron Mealy, Administrative Rules Assistant, 
Division of Legal Services, Department of Social Services, respect¬ 
fully requested that the chapter name on the final order be written as 
“Chapter 73—Child Placing Agencies”. 

RESPONSE AND EXPLANATION OF CHANGE: The department 
agrees and will be changing the chapter title. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 32—Child Care 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 


Support Division, under section 660.017, RSMo 2016, and section 
210.025, RSMo Supp. 2018, the division rescinds a rule as follows: 

13 CSR 40-32.020 Processing of Applications for State and Federal 
Funds for Providing Child Care Services is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2856-2857). No changes have been made in the proposed 
rescission, so it is not reprinted here. This proposed rescission 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 36—Alternative Care Review Process 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 
Support Division, under sections 207.020 and 660.017, RSMo 2016, 
the division rescinds a rule as follows: 

13 CSR 40-36.001 Foster/Relative/Adoptive Parent Grievance 
Procedure is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2857). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 73—Licensing of Child Placing Agencies 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 
Support Division, under sections 207.020 and 660.017, RSMo 2016, 
the division rescinds a rule as follows: 

13 CSR 40-73.015 Exemption of Child Placing Agencies From 
Licensure is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2857-2858). No changes have been made in the proposed 
rescission, so it is not reprinted here. This proposed rescission 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 73—Licensing of Child Placing Agencies 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 



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Orders of Rulemaking 


March 1, 2019 
Vol. 44, No. 5 


Support Division, under sections 207.020 and 660.017, RSMo 2016, 
the division rescinds a rule as follows: 

13 CSR 40-73.018 Court Review and Dispositional Hearing 
is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2858). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 100—Child Support Program, 

General Administration 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 
Support Division, under sections 454.400 and 660.017, RSMo 2016, 
the division amends a rule as follows: 

13 CSR 40-100.030 Cooperation Requirement is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2855-2856). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 40—Family Support Division 
Chapter 102—Child Support, Establishment 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Family 
Support Division, under sections 454.400 and 660.017, RSMo 2016, 
the division amends a rule as follows: 

13 CSR 40-102.010 Child Support Obligation Guidelines 
is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2853-2855). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: The Missouri Department of Social 
Services, Family Support Division (FSD) received two (2) comments 
from one (1) interested party on the proposed amendment. 

COMMENT #1: Dan Pingelton, Pingelton Law Firm, comments 
that the proposed amendment is contrary to Missouri case law and 
appears to facilitate an expedient resolution of establishment and 
modification cases administered by the Family Support Division. Mr. 
Pingelton also comments that Missouri law adequately addresses the 


establishment and modification of support obligations for inmates 
and the appropriate and fair enforcement procedures for arrearages 
upon release. This portion of the proposed amendment is not neces¬ 
sary; and is contrary to Missouri law. 

RESPONSE: This proposed regulation is necessary to comply with 
federal regulations. The Family Support Division (FSD) is not mak¬ 
ing changes to the proposed regulation based on the comment. 

On December 20, 2016, the Office of Child Support Enforcement 
(OCSE) published the Flexibility, Efficiency, and Modernization in 
Child Support Enforcement Programs final rule. This final rule 
revised 45 CFR 302.56 (c) to no longer allow states like Missouri to 
treat incarceration as voluntary unemployment in establishing or 
modifying support orders. FSD must comply with the revisions to 45 
CFR 302.56 (c) in order to have an approved Title IV-D State Plan. 
Failure to have an approved Title IV-D State Plan may result in the 
loss of all federal funding for the child support program, and a loss 
of federal funding for the Temporary Assistance for Needy Families 
program. 

Federal regulation defines incarceration as involuntary unemploy¬ 
ment allowing for FSD to define income for incarcerated individuals 
in 13 CSR 40-102.010, Section (2)(A).2. The Directions, Comments 
for use and Examples for the Completion of Form No. 14 issued by 
the Missouri Supreme Court states: “Income for purposes of com¬ 
puting the presumed child support amount consists of a financial ben¬ 
efit or money received by a parent that could have a positive impact 
on the parent’s ability to support the parent’s children. ” The mone¬ 
tary compensation the incarcerated parent receives for engaging in 
work or education programs while incarcerated is not contrary to the 
Form 14 definition of “Income.” If the incarcerated parent has other 
sources of income, FSD will include that income in the calculation 
of the presumed child support amount. 

COMMENT #2: Dan Pingelton, Pingelton Law Firm, comments that 
the proposed amendment would create a non-rebuttable presumption 
in favor of the obligor whenever the parties’ evidence conflicts. 
RESPONSE: The parties have an opportunity to rebut the presumed 
child support amount by requesting an administrative hearing. If the 
party disagrees with the administrative hearing decision, the party 
may file a petition for judicial review. The Family Support Division 
(FSD) is not making changes to the proposed amendment based on 
the comment. 

Generally, FSD only addresses credit for overnight visitation or 
custody on the Form 14 when proposing to modify a judicial order. 
When the parties cannot agree on the number of overnight FSD must 
make a determination to complete the motion for modification. The 
parties to the case can request a hearing on the motion for modifica¬ 
tion to address the accuracy of the number of overnight visits. At the 
hearing, any party to the order can seek to rebut the presumed child 
support amount based on the number of overnight visits. If a hearing 
is requested the administrative hearing officer, based upon additional 
fact finding, evidence, and determination of the credibility of wit¬ 
nesses, will determine the number of overnights that will be included 
on the Form 14 thereby addressing any disagreements by the parties. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 65—Missouri Medicaid Audit and Compliance 
Chapter 3—Providers and Participants—General Provider 
and Participant Policies 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, Missouri 
Medicaid Audit and Compliance, under sections 208.201 and 
660.017, RSMo 2016, the division adopts a rule as follows: 

13 CSR 65-3.060 Computation of Provider Overpayment by 
Statistical Sampling is adopted. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 851 


A notice of proposed rulemaking containing the text of the proposed 
rule was published in the Missouri Register on October 1, 2018 (43 
MoReg 2858-2859). No changes have been made in the text of the 
proposed rule, so it is not reprinted here. This proposed rule becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: The Missouri Department of Social 
Services, Missouri Medicaid and Compliance Unit (MMAC) 
received one (1) comment from one (1) interested party on the pro¬ 
posed rule. 

COMMENT #1: The Missouri Hospital Association (MHA) request¬ 
ed stricter definitions of the sampling and extrapolation methodology 
as a means of ensuring providers’ confidence that the sampling and 
extrapolation results would be fair and unbiased. 

RESPONSE: Statistical sampling is a judicially approved procedure 
to review healthcare claims for the purpose of identifying improper 
payment amounts. See Chaves County Home Health Svcs. v. 
Sullivan, 931 F.2d 914 (D.C. Cir. 1991). DSS believes that the infor¬ 
mation required to be submitted to a provider by subsection (3) of the 
proposed regulation when an overpayment is identified through sta¬ 
tistical sampling affords a provider adequate data to assess the fair¬ 
ness of the extrapolation results and contest the overpayment if the 
provider believes a mistake has been made. No changes have been 
made to the rule as a result of this comment. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 2—General Scope of Medical Service Coverage 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division, under sections 207.020, 208.153, 208.201, and 
660.017, RSMo 2016, the division amends a rule as follows: 

13 CSR 70-2.100 Title XIX Procedure of Exception to Medical 
Care Services Limitations is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2859-2860). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publication 
in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 3—Conditions of Provider Participation, 
Reimbursement and Procedure of General Applicability 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division, under sections 208.201 and 660.017, RSMo 
2016, the division rescinds a rule as follows: 

13 CSR 70-3.130 Computation of Provider Overpayment by 
Statistical Sampling is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2860). No changes have been made in the proposed rescis¬ 


sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 3—Conditions of Provider Participation, 
Reimbursement and Procedure of General Applicability 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division under sections 208.153, 208.201, and 660.017, 
RSMo 2016, the division amends a rule as follows: 

13 CSR 70-3.230 is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2860-2865). Those sections with changes are 
reprinted here. This proposed amendment becomes effective thirty 
(30) days after publication in the Code of State Regulations. 

SUMMARY OF COMMENTS: The Missouri Department of Social 
Services, MO HealthNet Division (MHD) received one comment 
from an interested party on the proposed amendment. 

COMMENT #1: Caleb Neeley, Executive Assistant, MO HealthNet 
Division stated that in an attempt to be more accurate with “incorpo¬ 
rations by reference” in the Department’s rules; we would like to 
comment that this proposed amendment should be reviewed and have 
any “incorporations” added as determined necessary by the depart¬ 
ment. 

RESPONSE AND EXPLANATION OF CHANGE: MO HealthNet 
Division has amended this final rule to include an incorporation by 
reference. 

13 CSR 70-3.230 Payment Policy for Provider Preventable 
Conditions 

(2) Payment to hospitals or ambulatory surgical centers enrolled as 
MO HealthNet providers for care related only to the treatment of the 
consequences of a HCAC will be denied or recovered by the MO 
HealthNet Division when the HCAC is determined to have occurred 
during an inpatient hospital stay and would otherwise result in an 
increase in payment. HCAC conditions are identified in the list of 
Medicare Hospital Acquired Conditions, which are incorporated by 
reference and made a part of this rule, as published by The Centers 
for Medicare & Medicaid Services (CMS) at their website on 
September 4, 2018. A copy of the list of Medicare Hospital Acquired 
Conditions from September 4, 2018, is maintained by MO HealthNet 
and can be acquired by contacting them at 615 Howerton Ct, 
Jefferson City, MO 65109. This rule does not incorporate any subse¬ 
quent amendments or additions published by CMS after September 
4, 2018. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 10—Nursing Home Program 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division under sections 208.153, 208.159, 208.201, and 
660.017, RSMo 2016, the division amends a rule as follows: 



Page 852 


Orders of Rulemaking 


March 1, 2019 
Vol. 44, No. 5 


13 CSR 70-10.016 Global Per Diem Adjustments to Nursing 
Facility and HIV Nursing Facility Reimbursement Rates 

is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on November 1, 
2018 (43 MoReg 3094-3098). No changes have been made in the text 
of the proposed amendment so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: The Missouri Department of Social 
Services, MO HealthNet Division (MHD) received one comment 
from an interested party on the proposed amendment. 

COMMENT #1: Harvey Tettlebaum, with Husch Blackwell, submit¬ 
ted a comment on behalf of the Missouri Health Care Association 
indicating that they support the proposed amendment to 13 CSR 70- 
10.016(3)(A) and are appreciative of the increase granted to nursing 
facilities by the General Assembly. He goes on to state that despite 
the increase, there remains a significant shortfall in the per diem 
reimbursement rates for Missouri nursing facilities and hopes that the 
state of Missouri, through MHD, will continue to evaluate provider 
payment rates and Medicaid beneficiary access. 

RESPONSE: MHD appreciates the comment of support from the 
Missouri Health Care Association and will continue to evaluate nurs¬ 
ing facility provider payment rates and Medicaid beneficary access to 
nursing facility services. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 10—Nursing Home Program 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division, under sections 208.153, 208.159, 208.201, and 
660.017, RSMo 2016, the division amends a rule as follows: 

13 CSR 70-10.070 Limitations on Allowable Nursing Facility Costs 
to Reserve a Bed for Absences Due to Hospital Admission 

is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2866). No changes have been made in the text of 
the proposed amendment, so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 10—Nursing Home Program 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division, under sections 208.201 and 660.017, RSMo 
2016, the division amends a rule as follows: 

13 CSR 70-10.160 Public Nursing Facility Upper Payment Limit 
Payment is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 


2018 (43 MoReg 2866-2868). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publica¬ 
tion in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 70—MO HealthNet Division 
Chapter 20—Pharmacy Program 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, MO 
HealthNet Division, under sections 208.153, 208.201, and 660.017, 
RSMo 2016, and section 208.152, RSMo Supp. 2018, the division 
amends a rule as follows: 

13 CSR 70-20.030 Drugs Covered by the MO HealthNet Pharmacy 
Program is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2868). No changes have been made in the text of 
the proposed amendment, so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 110—Division of Youth Services 
Chapter 3—Aftercare Responsibilities 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, 
Division of Youth Services, under sections 219.036 and 660.017, 
RSMo 2016, the division rescinds a rule as follows: 

13 CSR 110-3.015 Safe School Act Procedures is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 
MoReg 2868-2869). No changes have been made in the proposed 
rescission, so it is not reprinted here. This proposed rescission 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 13—DEPARTMENT OF SOCIAL SERVICES 
Division 110—Division of Youth Services 
Chapter 3—Aftercare Responsibilities 

ORDER OF RULEMAKING 

By the authority vested in the Department of Social Services, 
Division of Youth Services, under sections 219.036 and 660.017, 
RSMo 2016, the division rescinds a rule as follows: 

13 CSR 110-3.020 Aftercare Involvement During Residential 
Treatment is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on October 1, 2018 (43 MoReg 
2869). No changes have been made in the proposed rescission, so it is 
not reprinted here. This proposed rescission becomes effective thirty 
(30) days after publication in the Code of State Regulations. 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 853 


SUMMARY OF COMMENTS: No comments were received. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 73—Missouri Board of Nursing Home 
Administrators 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Board of Nursing Home 
Administrators under section 344.070, RSMo 2016, the board adopts 
a rule as follows: 

19 CSR 73-2.023 Procedures and Requirements for Limited 
Licensure of Administrators is adopted. 

A notice of proposed rulemaking containing the text of the proposed 
rule was published in the Missouri Register on October 1, 2018 (43 
MoReg 2874-2875). No changes have been made in the text of the 
proposed rule, so it is not reprinted here. This proposed rule becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 73—Missouri Board of Nursing Home 
Administrators 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Board of Nursing Home 
Administrators under section 344.070, RSMo 2016, the board 
amends a rule as follows: 

19 CSR 73-2.050 Renewal of Licenses is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2875-2876). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publication 
in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 73—Missouri Board of Nursing Home 
Administrators 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Board of Nursing Home 
Administrators under section 344.070, RSMo 2016, the board 
amends a rule as follows: 

19 CSR 73-2.051 Retired Licensure Status is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 


2018 (43 MoReg 2876). No changes have been made in the text of 
the proposed amendment, so it is not reprinted here. This proposed 
amendment becomes effective thirty (30) days after publication in the 
Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 73—Missouri Board of Nursing Home 
Administrators 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Board of Nursing Home 
Administrators under section 344.070, RSMo 2016, the board 
amends a rule as follows: 

19 CSR 73-2.053 Inactive Licensure Status is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2876-2877). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publication 
in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 73—Missouri Board of Nursing Home 
Administrators 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Board of Nursing Home 
Administrators under section 344.070, RSMo 2016, the board 
amends a rule as follows: 

19 CSR 73-2.060 Registration of Training Agencies and Single 
Offering Providers is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on October 1, 
2018 (43 MoReg 2877-2878). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publication 
in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

Division 2070—State Board of Chiropractic Examiners 
Chapter 4—Chiropractic Insurance Consultant 

ORDER OF RULEMAKING 

By the authority vested in the State Board of Chiropractic Examiners 
under section 331.100, RSMo 2016, the board rescinds a rule as fol¬ 
lows: 



Page 854 


Orders of Rulemaking 


March 1, 2019 
Vol. 44, No. 5 


20 CSR 2070-4.010 Chiropractic Insurance Consultant 
is rescinded. 

A notice of proposed rulemaking containing the proposed rescission 
was published in the Missouri Register on November 15, 2018 (43 
MoReg 3271). No changes have been made in the proposed rescis¬ 
sion, so it is not reprinted here. This proposed rescission becomes 
effective thirty (30) days after publication in the Code of State 
Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

Division 2070—State Board of Chiropractic Examiners 
Chapter 4—Chiropractic Insurance Consultant 

ORDER OF RULEMAKING 

By the authority vested in the State Board of Chiropractic Examiners 
under section 331.100, RSMo 2016, the board adopts a rule as fol¬ 
lows: 

20 CSR 2070-4.010 Chiropractic Insurance Consultant is adopted. 

A notice of proposed rulemaking containing the text of the proposed 
rule was published in the Missouri Register on November 15, 2018 
(43 MoReg 3271-3273). No changes have been made in the text of 
the proposed rule, so it is not reprinted here. This proposed rule 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

Division 2110—Missouri Dental Board 
Chapter 2—General Rules 

ORDER OF RULEMAKING 

By the authority vested in the Missouri Dental Board under section 
332.031, RSMo 2016, the board adopts a rule as follows: 

20 CSR 2110-2.075 Nonresident Military Spouse Licensure by 
Credentials is adopted. 

A notice of proposed rulemaking containing the text of the proposed 
rule was published in the Missouri Register on November 15, 2018 
(43 MoReg 3274-3276). No changes have been made in the text of 
the proposed rule, so it is not reprinted here. This proposed rule 
becomes effective thirty (30) days after publication in the Code of 
State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

Division 2110—Missouri Dental Board 
Chapter 4—Sedation 


By the authority vested in the Missouri Dental Board under section 
332.031, RSMo 2016, the board amends a rule as follows: 

20 CSR 2110-4.020 Moderate Sedation is amended. 

A notice of proposed rulemaking containing the text of the proposed 
amendment was published in the Missouri Register on November 15, 
2018 (43 MoReg 3277-3278). No changes have been made in the text 
of the proposed amendment, so it is not reprinted here. This pro¬ 
posed amendment becomes effective thirty (30) days after publication 
in the Code of State Regulations. 

SUMMARY OF COMMENTS: No comments were received. 


ORDER OF RULEMAKING 



March 1, 2019 In Additions 

Vol. 44, No. 5_ 


Missouri 

Register 


T his section may contain notice of hearings, correction 
notices, public information notices, rule action notices, 
statements of actual costs, and other items required to be pub¬ 
lished in the Missouri Register by law. 


Title 19—DEPARTMENT OF HEALTH AND 
SENIOR SERVICES 

Division 60—Missouri Health Facilities Review 
Committee 

Chapter 50—Certificate of Need Program 

NOTIFICATION OF REVIEW: 
APPLICATION REVIEW SCHEDULE 


Using Consumer Price Index (CPI) for All Urban Consumers (US 
City Average), as required by section 376.1224, RSMo, the new 
maximum required benefit was established by the following calcula¬ 
tions: 

Index Based on 1984 Dollars 
CPI for 2017: 245.120 

CPI for 2018: 251.107 

New ABA Mandated Maximum Benefit = 2018 Limit x (2018 
Annual Index/2017 Annual Index) 

$44,760 x (251.107/245.120) = $45,853 


The Missouri Health Facilities Review Committee has initiated 
review of the CON applications listed below. A decision is tentatively 
scheduled for March 25, 2019. These applications are available for 
public inspection at the address shown below. 

Date Filed 

Project Number: Project Name 
City (County) 

Cost, Description 

02/11/2019 

#5641 HT: Mercy Hospital South 
St. Louis (St. Louis County) 

$1,387,700, Replace PET/CT 

#5642 HT: Mercy Hospital South 
St. Louis (St. Louis County) 

$2,520,500, Replace Linear Accelerator 

#5643 HT: Mercy Hospital South 
St. Louis (St. Louis County) 

$2,840,500, Replace Linear Accelerator 

Any person wishing to request a public hearing for the purpose of 
commenting on these applications must submit a written request to 
this effect, which must be received by March 15, 2019. All written 
requests and comments should be sent to— 

Chairman 

Missouri Health Facilities Review Committee 
c/o Certificate of Need Program 
3418 Knipp Drive, Suite F 
PO Box 570 

Jefferson City, MO 65102 

For additional information contact Kayci Hoover-Doss at 
Kayci. hoover-doss@health. mo. gov. 


Title 20—DEPARTMENT OF INSURANCE, 
FINANCIAL INSTITUTIONS AND PROFESSIONAL 
REGISTRATION 

IN ADDITION 

Pursuant to section 376.1224, RSMo, regarding the maximum pre¬ 
scribed insurance benefit for the coverage of applied behavior analysis 
for the treatment of autism, the director of Insurance, Financial 
Institutions and Professional Registration is required to calculate the 
new maximum each year to adjust for inflation. 


855 




Missouri 

Register 


Dissolutions 


March 1, 2019 
Vol. 44, No. 5 


T he Secretary of State is required by sections 347.141 and 359.481, RSMo 2016, to publish dissolutions of limited liability 
companies and limited partnerships. The content requirements for the one-time publishing of these notices are prescribed 
by statute. This listing is published pursuant to these statutes. We request that documents submitted for publication in this section 
be submitted in camera ready 8 1/2" x 11" manuscript by email to adrules.dissolutions@sos.mo.gov. 


Notice of Dissolution 
to All Creditors of 
and Claimants Against 
MVM Plymouth Landing Fund, Inc. 

MVM PLYMOUTH LANDING FUND, INC., a Missouri corporation, filed its Articles of 
Dissolution by Voluntary Action with the Missouri Secretary of State on October 29, 2018. Any 
and all claims against MVM PLYMOUTH LANDING FUND. INC. may be sent to Jonathan 
Goldstein, Advantage Capital, 190 Carondelet Plaza, Suite 1500, St. Louis, MO 63105. Each 
claim should include the following information: the name, address and telephone number of the 
claimant; the amount of the claim: the basis of the claim and the date(s) on which the event(s) on 
which the claim is based occurred. 

Any and all claims against MVM PLYMOUTH LANDING FUND, INC. will be barred 
unless a proceeding to enforce such claim is commenced within two (2) years after the date of this 
notice is published. 


Notice of Dissolution 
to All Creditors of 
and Claimants Against 
MVM MorningStar Fund, Inc. 

MVM MORNINGSTAR FUND, INC., a Missouri corporation, filed its Articles of 
Dissolution by Voluntary Action with the Missouri Secretary of State on October 29, 2018. Any 
and all claims against MVM MORNINGSTAR FUND, INC. may be sent to Jonathan Goldstein, 
Advantage Capital, 190 Carondelet Plaza, Suite 1500, St. Louis, MO 63105. Each claim should 
include the following information: the name, address and telephone number of the claimant; the 
amount of the claim: the basis of the claim and the date(s) on which the evcnt(s) on which the 
claim is based occurred. 

Any and all claims against MVM MORNINGSTAR FUND, INC. will be barred unless a 
proceeding to enforce such claim is commenced within two (2) years after the date ol this notice 
is published. 


856 






March 1, 2019 
Vol. 44 , No. 5 


Missouri Register 


Page 857 


Notice of Dissolution 
to all Creditors and Claimants Against 
Housing Interiors, Inc. 


On January 28, 2019, Housing Interiors, Inc., a Missouri corporation (hereinafter the 
“Corporation”), filed its Dissolution by Voluntary Action with the Missouri Secretary of State. 

All claims against the Corporation should be submitted in writing to: Bush & Patched, 
L.L.C., Attn: Adam Patched. 4240 Philips Farm Road, Suite 109, Columbia, Missouri, 65201, 
bach claim must include the following information: (1) the name, address and phone number of 
the claimant; (2) amount of claim; (3) date on which the claim arose; (4) basis for the claim; and 
(5) documentation in support of the claim. 

All claims against the Corporation will be barred unless the proceeding to enforce the 
claim is commenced within two (2) years after the publication of this notice. 


NOTICE OF WINDING UP OF LIMITED LIA3ILITY COMPANY 

TO: All creditors of and claimants against NJJ Farms, LLC, a 

Missouri limited liability company (“Company"). 

On January_22, 2019, NJJ Farms, LLC, charter no. LC0Q1452560, 
filed it Notice of Winding Up for Limited Liability Company with 
the Missouri Secretary of State. 

All persons and organization with claims against the Company 
must submit a written summary of any claims against the Company to 
James R. Tweedy, 208 S Prairie, P 0 Box 193, Bloomfield, Missouri 
63825, which summary shall include the name, address and telephone 
number of the claimant; the amount cf the claim; date(s) the claim 
accrued; a brief description of the nature and basis for the claim; 
and any documentation of the claim. 

Claims against the Company will be barred unless a proceeding 
to enforce the claim is commenced within three years after 
publication of this Notice. 



Page 858 


Dissolutions 


March 1, 2019 
Vol. 44, No. 5 


NOTICE OF WINDING UP 
TO ALL CREDITORS AND CLAIMANTS AGAINST 
IFF NMTC SENIOR LENDER, LLC 

IFF NMTC Senior Lender, LLC, a Missouri limited liability company, filed its Notice of 
Winding Up for Limited Liability Company with the Missouri Secretary of State on January 29, 
2019. Any and all claims against IFF NMTC Senior Lender, LLC may be sent to Roger Herman, 
7733 Forsyth Blvd., 4th Fioor, St. Louis, MO 63105. Each claim should include the following 
information: the name, address and telephone number of the claimant, the amount of the claim; 
the basis of the claim; and the date(s) on which the event(s) on which the claim is based 
occurred. 

Any and all claims against IFF NMTC Senior Lender, LLC will be barred unless a 
proceeding to enforce such claim is commenced within three (3) years after the date this notice is 
published. 


NOTICE OF WINDING UP FOR LIMITED LIABILITY COMPANY 
TO ALL CREDITORS AND CLAIMANTS AGAINST 
CBKC/IFF INVESTMENT FUND, LLC 

CBKC/1FF Investment Fund, LLC, a Missouri limited liability company, filed its Notice 
of Winding Up for Limited Liability Company with the Missouri Secretary of State on January 
29, 2019. Any and ail claims against CBKC/IFF Investment Fund, LLC may be sent to Roger 
Herman, 7733 Forsyth Blvd., 4th Floor, St. Louis, MO 63105. Each claim should include the 
following information; the name, address and telephone number of the claimant; the amount of 
the claim; the basis of the claim; and the date(s) on which the event(s) on which the claim is 
based occurred. 

Any and all claims against CBKC/IFF Investment Fund, LLC will be barred unless a 
proceeding to enforce such claim is commenced within three (3) years after the date this notice is 
published. 




March 1, 2019 
Vol. 44, No. 5 


Rule Changes Since Update to 
Code of State Regulations 


Missouri 

Register 


This cumulative table gives you the latest status of rules. It contains citations of rulemakings adopted or proposed after deadline for the monthly 
Update Service to the "Code of State Regulations, citations are to volume and page number in the Missouri Register, except for material in this 
issue. The first number in the table cite refers to the volume number or the publication year—43 (2018) and 44 (2019). MoReg refers to 
Missouri Register and the numbers refer to a specific Register page, R indicates a rescission, W indicates a withdrawal, S indicates a statement 
of actual cost, T indicates an order terminating a rule, N.A. indicates not applicable, RAN indicates a rule action notice, RUC indicates a rule 
under consideration, and F indicates future effective date. 


Rule Number 


1 CSR 10 


Agency 

OFFICE OF ADMINISTRATION 

State Officials’ Salary Compensation Schedule 


Emergency 


commissioner of 
Jommissioner of 
commissioner of 
Jommissioner of 
Jommissioner of 
commissioner of 
Jommissioner of 
Jommissioner of 
Jommissioner of 
Jommissioner of 
Jommissioner of 
Jommissioner of 


dmimstration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 

dministration 


Proposed 


In Addition 


42 MoReg 1849 

43 MoReg 3648 


Personnel Advisory Board and Division ot 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel __ 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 
Personnel 

Personnel Advisory Board and Division of 

Personnel _ 

Division of Facilities Management, Design 
and Construction 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 
and Construction 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 
and Construction 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 

and Construction _ 

Division of Facilities Management, Design 
and Construction 


dvisory Board and Division of 
dvisory Board and Division of 


dvisory Board and Division ot 


dvisory Board and Division ot 
dvisory Board and Division of 


dvisory Board and Division ot 


dvisory Board and Division ot 
dvisory Board and Division of 
dvisory Board and Division of 


dvisory Board and Division ot 


dvisory Board and Division ot 
dvisory Board and Division of 
dvisory Board and Division of 


dvisory Board and Division ot 


dvisory Board and Division ot 
dvisory Board and Division of 


dvisory Board and Division ot 


dvisory Board and Division ot 
dvisory Board and Division of 
dvisory Board and Division of 


dvisory Board and Division ot 


43 MoReg 2735 
43 MoReg 2736 


43 MoReg 2740 
43 MoReg 2741 


43 MoReg 2742 
43 MoReg 2744 
43 MoReg 2747 
43 MoReg 2749 
43 MoReg 2753 
43 MoReg 2754 
43 MoReg 2757 


43 MoReg 2782 
43 MoReg 2783 


44 MoReg-376 Li 
44 MoReg 376 


43 MoReg 2759 
43 MoReg 2763 
43 MoReg 2764R 
43 MoReg 2764 


43 MoReg 2787R 44 MoReg 376R 


43 MoReg 2787 


43 MoReg 2788 


43 MoReg 2790 
■’43 MoReg 2791 
43 MoReg 2795 
43 MoReg 2797 
43 MoReg 2800 
43 MoReg 2802 
43 MoReg 2805 


44 MoReg 377 
44 MoReg 377 


43 MoReg 2790R 44 MoReg 377R 


44 MoReg 377 
44 MoReg 377 
44 MoReg 378 
44 MoReg 378 
44 MoReg 378 
44 MoReg 378 
44 MoReg 379 


43 MoReg 2758R 43 MoReg 2806R 44 MoReg 379R 


43 MoReg 2806 
43 MoReg 2810 
43 MoReg 2811R 

43 MoReg 2811 

44 MoReg 673 
44 MoReg 675R 
44 MoReg 675 
44 MoReg 676 
43 MoReg 2813R 
43 MoReg 2813R 
43 MoReg 2813R 
43 MoReg 2814R 
43 MoReg 2814R 

43 MoReg 2814R 

44 MoReg 3fi 
43 MoReg 3215 
43 MoReg 2814R 
43 MoReg 3218 


44 MoReg 379 
44 MoReg 380 
44 MoReg 380R 
44 MoReg 380 


This IssueR 
This IssueR 


This IssueR 


This IssueR 
This IssueR 
This IssueR 


This IssueR 


859 






Page 860 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

1 CSR 30-3.050 

Division of Facilities Management, Design 
and Construction 


43 MoReg 3221 



1 CSR 30-3.060 

Division of Facilities Management, Design 
and Construction 


44 MoReg 45R 



1 CSR 30-4.010 

Division of Facilities Management, Design 
and Construction 


43 MoReg 2815R 

This IssueR 


1 CSR 30-4.020 

Division of Facilities Management, Design 
and Construction 


44 MoReg 45 



1 CSR 30-4.030 

Division of Facilities Management, Design 
and Construction 


44 MoReg 49R 



1 CSR 30-4.040 

Division of Facilities Management, Design 
and Construction 


44 MoReg 49R 



1 CSR 35-1.050 

Division of Facilities Management 


43 MoReg 3222 



1 CSR 35-2.010 

Division of Facilities Management 


44 MoReg 50R 



1 CSR 35-2.020 

Division of Facilities Management 


44 MoReg 50R 



1 CSR 35-2.030 

Division of Facilities Management 


44 MoReg 5U 



1 CSR 35-2.040 

Division of Facilities Management 


44 MoReg 52R 



1 CSR 35-2.050 

Division of Facilities Management 


44 MoReg 52R 



1 CSR 40-1.010 

Purchasing and Materials Management 


43 MoReg 3226R 

Phis IssueR 


1 CSR 40-1.030 

Purchasing and Materials Management 


43 MoReg 322VR 

This IssueR 


1 CSR 40-1.040 

Purchasing and Materials Management 


43 MoReg 3227R 

Phis IssueR 


1 CSR 40-1.050 

Purchasing and Materials Management 

43 MoReg 2967 

43 MoReg 3227 

Phis Issue 


1 CSR 40-1.090 

Purchasing and Materials Management 


43 MoReg 3237R 

Phis IssueR 


2 CSR 60-1.010 

DEPARTMENT OF AGRICULTURE 

Grain Inspection and Warehousing 


43 MoReg 1419 

43 MoReg 3602 


2 CSR 60-2.010 

Grain inspection and Warehousing 


43 MoReg 142UR 

43 MoReg 3602R 


2 CSR 60-4.016 

Gram inspection and Warehousing 


43 MoReg 1420R 

43 MoReg 3602R 


2 CSR 60-4.045 

Gram inspection and Warehousing 


43 MoReg 142UR 

43 MoReg 3602R 


2 CSR 60-4.060 

Gram Inspection and Warehousing 


43 MoReg 1420R 

43 MoReg 3602R 


2 CSR 6U-4.U7U 

Gram inspection and Warehousing 


43 MoReg 1421R 

43 MoReg 3603R 


2 CSR 60-4.080 

Gram inspection and Warehousing 


43 MoReg 1421 

43 MoReg 3603 


2 CSR 60-4.0y0 

Gram Inspection and Warehousing 


43 MoReg 1421R 

43 MoReg 3603R 


2 CSR 60-4.120 

Grain Inspection and Warehousing 


43 MoReg 1422 

43 MoReg 3603 


2 CSR 60-4.130 

Gram inspection and Warehousing 


43 MoReg 1422 

43 MoReg 3603 


2 CSR 60-4.170 

Gram inspection and Warehousing 


43 MoReg 1422 

43 MoReg 3603 


2 CSR 60-5.040 

Gram Inspection and Warehousing 


43 MoReg 1422R 

43 MoReg 3604R 


2 CSR 70-1.010 

Plant Industries 


43 MoReg 1549 

43 MoReg 3820 


2 CSR 70-10.080 

Plant Industries 


43 MoReg 1550 

43 MoReg 3820 


2 CSR 70-11.020 

Plant Industries 


43 MoReg 1554R 

43 MoReg 3820R 


2 CSR 70-11.030 

Plant Industries 


43 MoReg 1554R 

43 MoReg 3820R 


2 CSR 70-11.050 

Plant Industries 


43 MoReg 1555R 

43 MoReg 3821R 


2 CSR 70-12.010 

Plant Industries 


43 MoReg 1555R 

43 MoReg 3821R 


2 CSR 70-15.035 

Plant Industries 


43 MoReg 1555R 

43 MoReg 3821R 


2 CSR 70-15.045 

Plant Industries 


43 MoReg 1555 

43 MoReg 3821 


2 CSR 70-16.010 

Plant Industries 


43 MoReg 1556R 

43 MoReg 3821R 


2 CSR 70-16.015 

Plant Industries 


43 MoReg 1556R 

43 MoReg 3821R 


2 CSR 70-16.020 

Plant Industries 


43 MoReg 1556R 

43 MoReg 3821R 


2 CSR 70-16.025 

Plant Industries 


43 MoReg 1556R 

43 MoReg 3822R 


2 CSR 70-16.030 

Plant Industries 


43 MoReg 1557R 

43 MoReg 3822R 


2 CSR 70-16.035 

Plant Industries 


43 MoReg 155VR 

43 MoReg 3822R 


2 CSR 70-16.040 

Plant Industries 


43 MoReg 1557R 

43 MoReg 3822R 


2 CSR 70-16.045 

Plant Industries 


43 MoReg 1558R 

43 MoReg 3822R 


2 CSR 70-16.050 

Plant Industries 


43 MoReg 1558R 

43 MoReg 3822R 


2 CSR 70-16.055 

Plant Industries 


43 MoReg 1558R 

43 MoReg 3823R 


2 CSR 7U-16.U6U 

Plant Industries 


43 MoReg 1558R 

43 MoReg 3823R 


2 CSR 70-16.065 

Plant Industries 


43 MoReg 1559R 

43 MoReg 3823R 


2 CSR 70-16.070 

Plant Industries 


43 MoReg 1559R 

43 MoReg 3823R 


2 CSR 70-16.075 

Plant Industries 


43 MoReg 1559R 

43 MoReg 3823R 


2 CSR 70-17.010 

Plant Industries 


44 MoReg 52 



2 CSR 70-17.020 

Plant Industries 


44 MoReg 53 



2 CSR 70-17.030 

Plant Industries 


44 MoReg 57 



2 CSR 70-17.040 

Plant Industries 


44 MoReg 59 



2 CSR 70-17.050 

Plant Industries 


44 MoReg 59 



2 CSR 70-17.060 

Plant Industries 


44 MoReg 6U 



2 CSR 70-17.070 

Plant Industries 


44 MoReg 62 



2 CSR 70-17.080 

Plant Industries 


44 MoReg 65 



2 CSR 70-17.090 

Plant Industries 


44 MoReg 65 



2 CSR 70-17.100 

Plant Industries 


44 MoReg 68 



2 CSR 70-17.110 

Plant Industries 


44 MoReg 70 



2 CSR 70-17.120 

Plant Industries 


44 MoReg 71 



2 CSR 70-25.070 

Plant Industries 


43 MoReg 1559R 

43 MoReg 3823W 


2 CSR 70-35.010 

Plant Industries 


43 MoReg 1560 

43 MoReg 3824 


2 CSR 70-35.031 

Plant Industries 


43 MoReg 1560R 

43 MoReg 3824R 


2 CSR 70-40.005 

Plant Industries 


43 MoReg 1560R 

43 MoReg 3824W 


2 CSR 70-40.015 

Plant Industries 


43 MoReg 1561R 

43 MoReg 3824W 


2 CSR 70-40.016 

Plant Industries 


43 MoReg 1561R 

43 MoReg 3824W 


2 CSR 70-40.017 

Plant Industries 


43 MoReg 1561R 

43 MoReg 3824W 


2 CSR 70-40.025 

Plant Industries 


43 MoReg 1561R 

43 MoReg 3825W 


2 CSR 70-40.040 

Plant Industries 


43 MoReg 1562R 

43 MoReg 3825W 


2 CSR 70-40.050 

Plant Industries 


43 MoReg 1562R 

43 MoReg 3825W 


2 CSR 70-40.055 

Plant Industries 


43 MoReg 1562R 

43 MoReg 3825W 



Weights, Measures and Consumer Protection 




42 MoReg 1203 

m-iaaatiAtji - 

Weights, Measures and Consumer Protection 


43 MoReg 1998R 

43 MoReg 3825R 






43 MoReg 3825 



Weights, Measures and Consumer Protection 


—MBBI.WUBH1 

■ II II lllll^ 


KSKKVIISMKUM 



43 MoReg 1999 

43 MoReg 3826 



Weights, Measures and Consumer Protection 



■ II II lllll^ 


roK«us«ftutn 




43 MoReg 3826 



Weights, Measures and Consumer Protection 



■ II II lllll^ 






43 MoReg 3827 



2 CSR 90-30.070 Weights, Measures and Consumer Protection 43 MoReg 2004 43 MoReg 3827 























March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 861 


Rule Number 

Agency Emergency 

Proposed 

Order 

In Addition 

2 CSR 90-30.080 

Weights, Measures and Consumer Protection 

43 MoReg 2005 

43 MoReg 3827 


2 CSR 90-30.090 

Weights, Measures and Consumer Protection 

43 MoReg 2006 

43 MoRei 3827 


2 CSR 90-30.100 

Weights, Measures and Consumer Protection 

43 MoReg 2006 

43 MoReg 3827 


2 CSR 90-36.010 

Weights, Measures and Consumer Protection 

43 MoReg 2007 

43 MoReg 3827 


2 CSR 90-38.010 

Weights, Measures and Consumer Protection 

43 MoReg 2012R 



2 CSR 90-38.020 

Weights, Measures and Consumer Protection 

43 MoReg 2012R 



2 CSR 90-38.030 

Weights, Measures and Consumer Protection 

43 MoReg 2012R 



2 CSR 90-38.040 

Weights, Measures and Consumer Protection 

43 MoReg 2013R 



2 CSR 90-38.050 

Weights, Measures and Consumer Protection 

43 MoReg 2013R 



2 CSR 100-2.010 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1563R 

43 MoReg 3828R 


2 CSR 100-2.020 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1563R 

43 MoReg 3828W 


2 CSR 100-2.030 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1563R 

43 MoReg 3828W 


2 CSR 100-2.040 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1563R 

43 MoReg 3828W 


2 CSR 100-2.050 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1564R 

43 MoReg 3828W 


2 CSR 100-3.010 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1564R 

43 MoReg 3829R 


2 CSR 100-3.020 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1564R 

43 MoReg 3829R 


2 CSR 100-3.030 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1564R 

43 MoReg 3829R 


2 CSR 100-3.040 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1565R 

43 MoReg 3829R 


2 CSR 100-3.050 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1565R 

43 MoReg 3829R 


2 CSR 100-4.010 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1565R 

43 MoReg 3829R 


2 CSR 100-4.020 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1565R 

43 MoReg 3830R 


2 CSR 100-4.030 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1566R 

43 MoReg 3830R 


2 CSR 100-4.040 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1566R 

43 MoReg 3830R 


2 CSR 100-4.050 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1566R 

43 MoReg 3830R 


2 CSR 100-10.010 

Missouri Agricultural and Small Business 

Development Authority 

43 MoReg 1566 

43 MoReg 3830 


3 CSR 10-1.010 

DEPARTMENT OF CONSERVATION 

Conservation Commission 

43 MoReg 2815 

44 MoReg 381 


3 CSR 10-4.200 

Conservation Commission 

43 MoReg 2815 

44 MoReg 381 


3 CSR 10-5.205 

Conservation Commission 

43 MoReg 2816 

44 MoReg 382 


3 CSR 10-5.215 

Conservation Commission 

43 MoReg 2822 

44 MoReg 383 


3 CSR 10-5.222 

Conservation Commission 

43 MoReg 2824 

44 MoReg 383 


3 CSR 10-5.600 

Conservation Commission 

43 MoReg 2824 

44 MoReg 384 


3 CSR 10-5.605 

Conservation Commission 

43 MoReg 2824 

44 MoReg 384 


3 CSR 10-6.415 

Conservation Commission 

43 MoReg 2824 

44 MoReg 384 


3 CSR 10-7.405 

Conservation Commission 

43 MoReg 2825 

44 MoReg 384 


3 CSR 10-7.410 

Conservation Commission 

43 MoReg 2825 

44 MoReg 385 


3 CSR 10-7.431 

Conservation Commission 

43 MoReg 2825 

44 MoReg 385 


3 CSR 1U-7.433 

Conservation Commission 

43 MoReg 2828 

44 MoReg 386 


3 CSR 10-7.434 

Conservation Commission 

43 MoReg 2828 

44 MoReg 386 



3 CSR 10-7.455 Conservation Commission 43 MoReg 2829 44 MoReg 387 43 MoReg 93 

^_ 44 MoReg 445 


3 CSR 10-7 600 Conservation Commission 43 MoReg 2829 44 MoReg 387 


3 CSR 10-9.220 

Conservation Commission 

44 MoReg 273 


3 CSR 10-10.715 

Conservation Commission 

43 MoReg 2833 

44 MoReg 38 / 

3 CSR 10-10.768 

Conservation Commission 

43 MoReg 2833 

44 MoReg 388 

3 CSR 10-11.115 

Conservation Commission 

43 MoReg 2833 

44 MoReg 388 

3 CSR 10-11.120 

Conservation Commission 

43 MoReg 2834 

44 MoReg 388 

3 CSR 10-11.125 

Conservation Commission 

43 MoReg 2835 

44 MoReg 388 

3 CSR 10-11.130 

Conservation Commission 

43 MoReg 2836 

44 MoReg 388 

3 CSR 10-11.135 

Conservation Commission 

43 MoReg 2837 

44 MoReg 389 

3 CSR 10-11.140 

Conservation Commission 

43 MoReg 2837 

44 MoReg 389 

3 CSR 10-11.145 

Conservation Commission 

43 MoReg 2838 

44 MoReg 389 

3 CSR 10-11.155 

Conservation Commission 

43 MoReg 2838 

44 MoReg 389 

3 CSR 10-11.160 

Conservation Commission 

43 MoReg 2838 

44 MoReg 389 

3 CSR 10-11.180 

Conservation Commission 

43 MoReg 2839 

44 MoReg 389 

3 CSR 10-11.184 

Conservation Commission 

43 MoReg 2845 

44 MoReg 391 

3 CSR 10-11.185 

Conservation Commission 

43 MoReg 2845 

44 MoReg 391 

3 CSR 10-11.186 

Conservation Commission 

43 MoReg 2849 

44 MoReg 392 

3 CSR 10-11.200 

Conservation Commission 

43 MoReg 2849 

44 MoReg 392 

3 CSR 10-11.205 

Conservation Commission 

43 MoReg 2850 

44 MoReg 393 

3 CSR 10-11.210 

Conservation Commission 

43 MoReg 2851 

44 MoReg 393 

3 CSR 10-11.215 

Conservation Commission 

43 MoReg 2852 

44 MoReg 393 

3 CSR 10-20.805 

Conservation Commission 

43 MoReg 2853 

44 MoReg 393 

4 CSR 80-1.010 

DEPARTMENT OF ECONOMIC DEVELOPMENT 

Division of Economic Development Programs* 

43 MoReg 3059R 


4 CSR 80-2.010 

Division of Economic Development Programs* 

43 MoReg 3U59R 


4 CSR 80-2.020 

Division of Economic Development Programs* 

43 MoReg 3059R 


4 CSR 80-2.030 

Division of Economic Development Programs* 

43 MoReg 3U6UR 


4 CSR 80-5.010 

Division of Economic Development Programs* 

43 MoReg 3060 


4 CSR 80-5.020 

Division of Economic Development Programs* 

43 MoReg 3U61R 


4 CSR 80-7.010 

Division of Economic Development Programs* 

43 MoReg 3061R 


4 CSR 80-7.020 

Division of Economic Development Programs* 

43 MoReg 3U61R 


4 CSR 80-7.030 

Division of Economic Development Programs* 

43 MoReg 3061R 



4 CSR 80-7.040 Division of Economic Development Programs* 43 MoReg 3062R 








Page 862 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

Agency Emergency 

Proposed 

Order 

In Addition 

4 CSR 85-2.010 

Division of Business and Community Services 

43 MoReg 3062 



4 CSR 85-2.015 

Division of Business and Community Services 

43 MoReg 3062R 



4 CSR 85-2.020 

Division ot Business and Community Services 

43 MoReg 3063 



4 CSR 85-2.030 

Division ot Business and Community Services 

43 MoReg 3064 



4 CSR 85-2.040 

Division ot Business and Community Services 

43 MoReg 3065R 



4 CSR 85-6.010 

Division of Business and Community Services 

43 MoReg 3065R 



4 CSR 85-7.010 

Division ot Business and Community Services 

43 MoReg 3065R 



4 CSR 195-1.010 

Division ot Workforce Development 

43 MoReg 3066 



4 CSR 195-2.010 

Division ot Workforce Development 

43 MoReg 3066R 



4 CSR 195-2.020 

Division of Workforce Development 

43 MoReg 3066R 



4 CSR 195-2.030 

Division ot Workforce Development 

43 MoReg 3067R 



4 CSR 195-3.010 

Division ot Workforce Development 

43 MoReg 306/R 



4 CSR 195-3.020 

Division of Workforce Development 

43 MoReg 3067R 



4 CSR 195-4.010 

Division ot Workforce Development 

43 MoReg 3067R 



4 CSR 195-5.010 

Division ot Workforce Development 

43 MoReg 3068R 



4 CSR 195-5.020 

Division of Workforce Development 

43 MoReg 3068R 



4 CSR 195-5.030 

Division ot Workforce Development 

43 MoReg 3068R 



4 CSR 240-2.010 

Public Service Commission 

43 MoReg 3762 



4 CSR 240-2.070 

Public Service Commission 

43 MoReg 3762 



4 CSR 240-2.120 

Public Service Commission 

43 MoReg 3763 



4 CSR 240-2.205 

Public Service Commission 

43 MoReg 3763 



4 CSR 240-5.010 

Public Service Commission 

43 MoReg 3764 



4 CSR 240-3.015 

Public Service Commission 

43 MoRef 3764R 



4 CSR 240-3.020 

Public Service Commission 

43 MoReg 3764R 



4 CSR 240-3.025 

Public Service Commission 

43 MoReg 3V65R 



4 CSR 240-3.030 

Public Service Commission 

43 MoRef 3765 



4 CSR 240-3.110 

Public Service Commission 

43 MoReg 1567R 

43 MoReg 3830R 


4 CSR 240-3.115 

Public Service Commission 

43 MoReg 156/R 

43 MoReg 3831R 


4 CSR 240-3.120 

Public Service Commission 

43 MoReg 1567R 

43 MoReg 3831R 


4 CSR 240-3.125 

Public Service Commission 

43 MoReg 1568R 

43 MoReg 3831R 


4 CSR 240-3.145 

Public Service Commission 

43 MoReg 3V66R 



4 CSR 240-3.161 

Public Service Commission 

43 MoReg 1423R 

43 MoReg 3832R 


4 CSR 240-3.165 

Public Service Commission 

43 MoReg 1568R 

43 MoReg 3832R 


4 CSR 240-3.180 

Public Service Commission 

43 MoReg 3V66R 



4 CSR 240-3.185 

Public Service Commission 

43 MoRef 3766R 



4 CSR 240-3.210 

Public Service Commission 

43 MoReg 1569R 

43 MoReg 3832R 


4 CSR 240-3.215 

Public Service Commission 

43 MoReg 1569R 

43 MoReg 3832R 


4 CSR 240-3.220 

Public Service Commission 

43 MoReg 1569R 

43 MoReg 3833R 


4 CSR 240-3.225 

Public Service Commission 

43 MoReg 1570R 

43 MoReg 3833R 


4 CSR 240-3.235 

Public Service Commission 

44 MoReg '/1R 



4 CSR 240-3.245 

Public Service Commission 

43 MoReg 157UR 

43 MoReg 3833R 


4 CSR 240-3.250 

Public Service Commission 

43 MoReg 3767R 



4 CSR 240-5.260 

Public Service Commission 

44 MoReg '/1R 



4 CSR 240-3.270 

Public Service Commission 

43 MoReg 1571R 

43 MoReg 3833R 


4 CSR 240-3.275 

Public Service Commission 

44 MoReg 72R 



4 CSR 240-3.280 

Public Service Commission 

43 MoReg 1571R 

43 MoReg 3834R 


4 CSR 240-3.290 

Public Service Commission 

43 MoReg 1571R 

43 MoReg 3834R 


4 CSR 240-3.295 

Public Service Commission 

43 MoRef 1572R 

43 MoReg 3834R 


4 CSR 240-3.310 

Public Service Commission 

43 MoReg 1572R 

43 MoReg 3835R 


4 CSR 240-3.315 

Public Service Commission 

43 MoReg 1572R 

43 MoReg 3835R 


4 CSR 240-3.320 

Public Service Commission 

43 MoRef 1573R 

43 MoReg 3835R 


4 CSR 240-3.325 

Public Service Commission 

43 MoReg 1573R 

43 MoReg 3836R 


4 CSR 240-3.335 

Public Service Commission 

43 MoReg 1574R 

43 MoReg 3836R 


4 CSR 240-3.405 

Public Service Commission 

43 MoRef 1574R 

43 MoReg 3836R 


4 CSR 240-3.410 

Public Service Commission 

43 MoReg 1574R 

43 MoReg 3836R 


4 CSR 240-3.415 

Public Service Commission 

43 MoReg 1575R 

43 MoReg 383 /R 


4 CSR 240-3.420 

Public Service Commission 

43 MoRef 1575R 

43 MoReg 3837R 


4 CSR 240-3.435 

Public Service Commission 

43 MoReg 1575R 

43 MoReg 3837R 


4 CSR 240-3.605 

Public Service Commission 

43 MoReg 1576R 

43 MoReg 3838R 


4 CSR 240-3.610 

Public Service Commission 

43 MoRef 1576R 

43 MoReg 3838R 


4 CSR 240-3.615 

Public Service Commission 

43 MoReg 1577R 

43 MoReg 3838R 


4 CSR 240-3.620 

Public Service Commission 

43 MoReg I577R 

43 MoReg 3838R 


4 CSR 240-5.640 

Public Service Commission 

43 MoReg I577R 

43 MoReg 3839R 


4 CSR 240-10.020 

Public Service Commission 

43 MoReg 3767 



4 CSR 240-10.040 

Public Service Commission 

43 MoReg 3768 



4 CSR 240-10.085 

Public Service Commission 

43 MoReg 1424 

43 MoReg 3839 


4 CSR 240-10.095 

Public Service Commission 

43 MoReg 1425 

43 MoRei 3842 


4 CSR 240-10.105 

Public Service Commission 

43 MoReg 1578 

43 MoReg 3845 


4 CSR 240-10.115 

Public Service Commission 

43 MoReg 1578 

43 MoReg 3845 


4 CSR 240-10.125 

Public Service Commission 

43 MoReg 1579 

43 MoRei 3846 


4 CSR 240-10.135 

Public Service Commission 

43 MoReg 1579 

43 MoReg 3846 


4 CSR 240-10.145 

Public Service Commission 

43 MoReg 1580 

43 MoReg 3846 


4 CSR 240-13.010 

Public Service Commission 

43 MoReg 3768 



4 CSR 240-13.015 

Public Service Commission 

43 MoReg 3769 



4 CSR 240-13.020 

Public Service Commission 

43 MoReg 3769 



4 CSR 240-13.025 

Public Service Commission 

43 MoRef 3770 



4 CSR 240-13.030 

Public Service Commission 

43 MoReg 3770 



4 CSR 240-13.050 

Public Service Commission 

43 MoReg 3770 



4 CSR 240-13.055 

Public Service Commission 

43 MoRef 3773 



4 CSR 240-13.070 

Public Service Commission 

43 MoReg 3774 



4 CSR 240-20.070 

Public Service Commission 

43 MoReg 3774 



4 CSR 240-20.090 

Public Service Commission 

43 MoReg 1426 

43 MoReg 3847 


4 CSR 240-20.105 

Public Service Commission 

43 MoReg 3776 



4 CSR 240-40.020 

Public Service Commission 

43 MoReg 1581 

43 MoReg 3860 


4 CSR 240-40.080 

Public Service Commission 

43 MoReg 1583 

43 MoReg 3861 


4 CSR 240-40.033 

Public Service Commission 44 MoReg 493 

44 MoReg 500 



4 CSR 240-40.080 

Public Service Commission 

43 MoReg 1596 

43 MoReg 3861 


4 CSR 240-40.085 

Public Service Commission 

44 MoReg 72 



4 CSR 240-40.090 

Public Service Commission 

44 MoReg 73 



4 CSR 340-2 

Division ot bnergy 



43 MoReg 15 

43 MoReg 3869 






March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 863 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

5 CSR 20-100.120 

DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION 

Division of Learning Services 43 MoReg 3779R 



5 CSR 20-100.160 

Division ot Learning Services 


43 MoReg 3068 



5 CSR 20-100.190 

Division ot Learning Services 


43 MoReg 3 /80 



5 CSR 20-100.200 

Division of Learning Services 


43 MoReg 3070 



5 CSR 20-100.230 

Division of Learning Services 


44 MoReg 6/8 



5 CSR 20-100.260 

Division of Learning Services 


44 MoReg 74 



5 CSR 20-100.300 

Division of Learning Services 
(Changed from 5 CSR 20-600.120) 




43 MoReg 3651 

5 CSR 20-100.310 

Division of Learning Services 
(Changed from 5 CSR 20-600.130) 




43 MoReg 3651 

5 CSR 20-100.320 

Division of Learning Services 
(Changed from 5 CSR 20-600.140) 




43 MoReg 3651 

5 CSR 20-100.330 

Division of Learning Services 
(Changed from 5 CSR 20-600.110) 


44 MoReg 79 



5 CSR 20-300.140 

Division of Learning Services 


43 MoReg 252R 

43 MoReg 2013R 

43 MoReg 3604R 



5 CNR 20-400.25U Division of Learning Services 


5 CSR 2U-4UU.28U Division ot Learning Services 


This TssueR 


This TssueR 


5 CSR 20-400.510 Division ot Learning Services 

h CSR 2 U-4UU.52U Division ot Learning Services 


43 MoReg 2T5PC 


43 MoReg 3bQ4C 


43 MoReg 2UI5~ 


43 MoReg 3605 


5 CSR 2U-4UU.34U Division ot Learning Services 


44 MoReg 679~ 


5 CSK 20-40U.56U Division ot Learning Services 
5 CSK 2U-400.64U Division ot Learning Services 


43 MoReg 20I5~ 


43 MoReg 3605 


42 MoReg 1581 

43 MoReg 2017 


5 CSK 20-500.110 Division ot Learning Services 


43 MoReg 3780RT 


43 MoReg 3607 


5 CSR 20-600.110 


Division ot Learning Services 
(Changed to 5 CSR 20-100.330) 


44 MoReg 79 


5 CSR 20-600.120 


Division ot Learning Services 
(Changed to 5 CSR 20-100.300) 


43 MoReg 3651 


5 CSR 20-600.130 


Division ot Learning Services 
(Changed to 5 CSR 20-100.310) 


43 MoReg 3651 


5 CSR 20-600.140 


Division of Learning Services 
(Changed to 5 CSR 20-100.320) 


43 MoReg 3651 


5 CSR 30-261.010 


Division of Financial and Administrative 
Services 


5 CSR 30-345.030 


Division of Financial and Administrative 
Services 


44 MoReg 79 ‘ 


43 MoReg 3071 


DEPARTMENT OF HIGHER EDUCATION 

6 CSR 10-2.080 _ Commissioner of Higher Education _ 

6 CSR 10-2.100 Commissioner ot Higher Education 

6 CSR 10-2.120 Commissioner ot Higher Education 

6 CSR 11) 2.1 II) Commissioner ot Higher Education 

6 CSR 10-2.150 Commissioner of Higher Education 

6 CSK 10-2.160 Commissioner ot Higher Education 

6 CSR 1U-2.17U Commissioner ot Higher Education 

6 CSR 10-2.180 Commissioner ot Higher Education 

6 CSR 10-2.190 Commissioner ot Higher Education 

6 CSR 10-4.010 Commissioner of Higher Education 


This Issue _ 

This Issue 
This Issue 
This Issue 
This Issue 
This Issue 
This issue 
This Issue 
This Issue 
43 MoReg 123 
43 MoReg 3474 


MISSOURI DEPARTMENT OF TRANSPORTATION 


7 CSR 

Department of Transportation 


41 MoReg 845 

7 CSR 10-4.020 

Missouri Highways and transportation Commission 

44 MoReg 274 



7 CSR 10-19.Oil) Missouri Highways and Transportation Commission 42 MoReg 93 K 


DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS 


8 CSR 

Department of Labor and Industrial Relations 




41 MoReg 845 

8 CSR 30-1.010 

Division of Labor Standards 


43 MoReg 2021 

43 MoReg 3862 


8 CSR 30-2.010 

Division ol Labor Standards 


43 MoReg 2021 

43 MoReg 3862 


8 CSR 30-2.020 

Division ot Labor Standards 


43 MoReg 2U21 

43 MoReg 3862 


8 CSR 30-3.010 

Division of Labor Standards 

44 MoReg 5 

43 MoReg 2028 

44 MoReg 81 

43 MoReg 3862W 


8 CSR 30-3.020 

Division ol Labor Standards 


43 MoReg 2U29 

43 MoReg 3862W 


8 CSR 30-3.030 

Division of Labor Standards 

44 MoReg 6 

43 MoReg 2030 

44 MoReg 82 

43 MoRef 3863W 


8 CSR 30-3.040 

Division ot Labor Standards 

44 MoReg 7 

43 MoReg 2U31 

44 MoReg 83 

43 MoReg 3863W 


8 CSR 30-3.050 

Division ol Labor Standards 

44 MoReg 7 

43 MoReg 2031R 

44 MoReg 83 

43 MoReg 3863W 


8 CSR 30-3.060 

Division of Labor Standards 

44 MoReg 8 

43 MoReg 2031 

44 MoReg 83 

43 MoReg 3863W 


8 CSR 30-4.010 

Division ol Labor Standards 


43 MoReg 2U34 

43 MoReg 3863 


8 CSR 30-4.020 

Division of Labor Standards 


43 MoReg 2035 

43 MoRef 3864 


8 CSR 30-4.040 

Division ol Labor Standards 


43 MoReg 2035 

43 MoReg 3864 


8 CSR 30-4.050 

Division ot Labor Standards 


43 MoReg 2U35 

43 MoReg 3864 


8 CSR 30-4.060 

Division of Labor Standards 


43 MoReg 2036 

43 MoRei 3864 


8 CSR 30-5.010 

Division ol Labor Standards 


43 MoReg 2037 

43 MoReg 3864W 


8 CSR 30-5.020 

Division ol Labor Standards 


43 MoReg 2U37 

43 MoReg 3864W 


8 CSR 30-5.030 

Division of Labor Standards 


43 MoReg 2038 

43 MoRei 3865W 


8 CSR 30-6.010 

Division ol Labor Standards 


43 MoReg 2039 

43 MoReg 3865 



DEPARTMENT OF MENTAL HEALTH 

9 CSR Department of Mental Health 41 MoReg 845 


9 CSR 10-5.190 

Director, Department ot Mental Health 

t his Issue 


9 CSR 10-5.240 

Director, Department of Mental Health 
(Changed to 9 CSR 10-7.035) 

43 MoReg 2975 

44 MoReg 704 

9 CSR 10-7.010 

Director, Department ot Mental Health 

43 MoReg 3 /81 


9 CSR 10-7.020 

Director, Department of Mental Health 

43 MoRef 3786 


9 CSR 10-7.030 

Director, Department ot Mental Health 

43 MoReg 3788 







Page 864 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

9 CSR 10-7.035 

Agency 

Director, Department of Mental Health 
(Changed from 9 CSR 10-5.240) 

Emergency 

Proposed 

43 MoReg 2975 

Order 

44 MoReg 704 

In Addition 

9 CSR 10-7.040 

Director, Department ot Mental Health 


43 MoReg 3794 



9 CSR 10-7.050 

Director, Department ot Mental Health 


43 MoReg 3 /95 



9 CSR 10-7.080 

Director, Department of Mental Health 


43 MoReg 3796 



9 CSR 10-7.090 

Director, Department ot Mental Health 


43 MoReg 3797 



9 CSR 10-7.100 

Director, Department ot Mental Health 


43 MoReg 3 /99 



9 CSR 10-7.110 

Director, Department of Mental Health 


43 MoReg 3800 



9 CSR 10-7.120 

Director, Department ot Mental Health 


43 MoReg 3802 



9 CSR 10-7.130 

Director, Department ot Mental Health 


43 MoReg 3805 



9 CSR 30-3.230 

Certification Standards 


This Issue 



9 CSR 45-3.010 

Division ot Developmental Disabilities 


This Issue 




DEPARTMENT OF NATURAL RESOURCES 




10 CSR 

Department of Natural Resources 




41 MoReg 845 

10 CSR 1-3.010 

Director’s Ottice 


43 MoReg 2039 

44 MoReg 123 


10 CSR 10-2.205 

Air Conservation Commission 


43 MoReg 2039 

44 MoReg 573 


10 CSR 10-2.215 

Air Conservation Commission 


43 MoReg 1015 R 

43 MoReg 3607R 


10 CSR 10-2.230 

Air Conservation Commission 


43 MoReg 2042 

44 MoReg 574 


10 CSR 10-2.260 

Air Conservation Commission 


43 MoReg 1266 

44 MoReg 123 


10 CSR 10-2.300 

Air Conservation Commission 


43 MoReg 1270 

44 MoReg 127 


10 CSR 10-2.320 

Air Conservation Commission 


43 MoReg 11)16 

43 MoReg 3609 


10 CSR 10-2.340 

Air Conservation Commission 


43 MoReg 11)17 

43 MoReg 3610 


10 CSR 10-2.390 

Air Conservation Commission 


43 MoReg 1018R 

43 MoReg 3612R 


10 CSR 10-5.220 

Air Conservation Commission 


43 MoReg 2046 

44 MoReg 575 


10 CSR 10-5.295 

Air Conservation Commission 


43 MoReg 2052 

44 MoReg 581 


10 CSR 10-5.330 

Air Conservation Commission 


43 MoReg 2055 

44 MoReg 581 


10 CSR 10-5.360 

Air Conservation Commission 


43 MoReg 1019R 

43 MoReg 3613R 


10 CSR 10-5.370 

Air Conservation Commission 


43 MoReg 1U19R 

43 MoReg 3614R 


10 CSR 10-5.410 

Air Conservation Commission 


43 MoReg 1020R 

43 MoReg 3616R 


10 CSR 10-5.440 

Air Conservation Commission 


43 MoReg 1020R 

43 MoReg 3617R 


10 CSR 10-5.455 

Air Conservation Commission 


43 MoReg 1020R 

43 MoReg 3619R 


10 CSR 10-5.500 

Air Conservation Commission 


43 MoReg 1272 

44 MoReg 128 


10 CSR 10-5.520 

Air Conservation Commission 


43 MoReg 1021R 

43 MoReg 3620R 


10 CSR 10-5.530 

Air Conservation Commission 


43 MoReg 1277 

44 MoReg 130 


10 CSR 10-5.540 

Air Conservation Commission 


43 MoReg 1282 

44 MoReg 132 


10 CSR 10-5.570 

Air Conservation Commission 


43 MoReg 1021 

43 MoReg 3621 


10 CSR 10-6.030 

Air Conservation Commission 


43 MoReg 1024 

43 MoReg 3624 


10 CSR 10-6.040 

Air Conservation Commission 


43 MoReg 1026 

43 MoReg 3626 


10 CSR 10-6.045 

Air Conservation Commission 


43 MoReg 2073 

44 MoReg 586 


1U CSR 1U-6.U6U 

Air Conservation Commission 


43 MoReg 2076 

44 MoReg 589 


10 CSR 10-6.062 

Air Conservation Commission 


43 MoReg 2101 

44 MoReg 600 


10 CSR 10-6.065 

Air Conservation Commission 


43 MoReg 2104 

44 MoReg 602 


10 CSR 10-6.070 

Air Conservation Commission 


43 MoReg 1287 

44 MoReg 132 


10 CSR 10-6.075 

Air Conservation Commission 


43 MoReg 1293 

44 MoReg 133 


10 CSR 10-6.080 

Air Conservation Commission 


43 MoReg 1301 

44 MoReg 134 


10 CSR 10-6.110 

Air Conservation Commission 


43 MoReg 11)29 

43 MoReg 3626 


10 CSR 10-6.120 

Air Conservation Commission 


43 MoReg 13U3 

44 MoReg 134 


10 CSR 10-6.130 

Air Conservation Commission 


43 MoReg 1304 



10 CSR 10-6.161 

Air Conservation Commission 


43 MoReg 1312 

44 MoReg 135 


10 CSR 10-6.170 

Air Conservation Commission 


43 MoReg 2126 

44 MoReg 603 


10 CSR 10-6.200 

Air Conservation Commission 


43 MoReg 1032 

43 MoReg 3629 


10 CSR 10-6.220 

Air Conservation Commission 


43 MoReg 2127 

44 MoReg 604 


10 CSR 10-6.241 

Air Conservation Commission 


43 MoReg 1313 

44 MoReg 135 


10 CSR 10-6.250 

Air Conservation Commission 


43 MoReg 1316 

44 MoReg 137 


10 CSR 10-6.261 

Air Conservation Commission 


43 MoReg 2129 

44 MoReg 605 


10 CSR 10-6.280 

Air Conservation Commission 


43 MoReg 1319 

44 MoReg 139 


10 CSR 10-6.300 

Air Conservation Commission 


43 MoReg 1320 

44 MoReg 140 


10 CSR 10-6.330 

Air Conservation Commission 


43 MoReg 2134 

44 MoReg 606 


10 CSR 10-6.362 

Air Conservation Commission 


43 MoReg 1046R 

43 MoReg 3630R 


10 CSR 10-6.364 

Air Conservation Commission 


43 MoReg 1047R 

43 MoReg 3631R 


10 CSR 10-6.366 

Air Conservation Commission 


43 MoReg 1U47R 

43 MoReg 3632R 


10 CSR 10-6.372 

Air Conservation Commission 


43 MoReg 213 / 

44 MoReg 60 / 


10 CSR 10-6.374 

Air Conservation Commission 


43 MoReg 2144 

44 MoReg 608 


10 CSR 10-6.376 

Air Conservation Commission 


43 MoReg 2151 

44 MoReg 608 


10 CSR 10-6.380 

Air Conservation Commission 


43 MoReg 1326 

44 MoReg 140 


10 CSR 10-6.390 

Air Conservation Commission 


43 MoReg 2158 

44 MoReg 609 


10 CSR 20-2.010 

Clean Water Commission 


43 MoReg 1148 

43 MoReg 3633 


10 CSR 20-4.010 

Clean Water Commission 


43 MoReg 1596R 

44 MoReg 141R 


10 CSR 20-4.030 

Clean Water Commission 


43 MoReg 1596 

44 MoReg 141 


10 CSR 20-4.040 

Clean Water Commission 


43 MoRef 1598 

44 MoReg 142 


10 CSR 20-4.041 

Clean Water Commission 


43 MoReg 1609 

44 MoReg 144 


10 CSR 20-4.042 

Clean Water Commission 


43 MoReg 1611R 

44 MoReg 145R 


10 CSR 20-4.050 

Clean Water Commission 


43 MoReg 1611 

44 MoReg 145 


10 CSR 20-4.061 

Clean Water Commission 


43 MoReg 1615 

44 MoReg 146 


10 CSR 20-6.010 

Clean Water Commission 


43 MoReg 1618 

44 MoReg 147 


10 CSR 20-6.011 

Clean Water Commission 


43 MoReg 1629 

44 MoReg 156 


10 CSR 20-6.015 

Clean Water Commission 


43 MoReg 1632 

44 MoReg 156 


10 CSR 20-6.020 

Clean Water Commission 


43 MoReg 1633 

44 MoReg 157 


10 CSR 20-6.070 

Clean Water Commission 


43 MoReg 1635 

44 MoReg 159 


10 CSR 20-6.090 

Clean Water Commission 


43 MoReg 1637 

44 MoReg 159 


10 CSR 20-6.200 

Clean Water Commission 


43 MoReg 1642 

44 MoReg 162 


10 CSR 20-6.300 

Clean Water Commission 


43 MoRef 1652 

44 MoReg 165 


10 CSR 20-7.015 

Clean Water Commission 


43 MoReg 1655 

44 MoReg 168 


10 CSR 20-8.020 

Clean Water Commission 


43 MoReg 1669R 

44 MoReg T7IR 


10 CSR 20-8.110 

Clean Water Commission 


43 MoReg 1669 

44 MoReg 171 


10 CSR 20-8.120 

Clean Water Commission 


43 MoReg 1680 

44 MoReg 174 


10 CSR 20-8.125 

Clean Water Commission 


43 MoReg 1685 

44 MoReg 175 


10 CSR 20-8.130 

Clean Water Commission 


43 MoReg 1687 

44 MoReg 178 


10 CSR 20-8.140 

Clean Water Commission 


43 MoReg 1692 

44 MoReg 179 



10 CSR 20-8.150 Clean Water Commi s sion 43 MoReg 1699 44 MoReg 182 





March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 865 


Rule Number 

Agency Emergency 

Proposed 

Order 

In Addition 

10 CSR 20-8.160 

Clean Water Commission 

43 MoReg 1702 

44 MoReg 183 


10 CSR 20-8.170 

Clean Water Commission 

43 MoReg 1705 

44 MoReg 185 


10 CSR 20-8.180 

Clean Water Commission 

43 MoReg 1710 

44 MoReg 186 


10 CSR 20-8.190 

Clean Water Commission 

43 MoReg 1716 

44 MoReg 18 / 


10 CSR 20-8.200 

Clean Water Commission 

43 MoReg 1719 

44 MoRef 188 


10 CSR 20-8.210 

Clean Water Commission 

43 MoReg 1726 

44 MoReg 189 


10 CSR 20-8.220 

Clean Water Commission 

43 MoReg 1/30R 

44 MoReg 19UR 


10 CSR 20-8.300 

Clean Water Commission 

43 MoReg 1731 

44 MoReg 190 


10 CSR 20-8.500 

Clean Water Commission 

43 MoReg 1738 

44 MoReg 192 


10 CSR 20-9.010 

Clean Water Commission 

43 MoReg 1742 

44 MoReg 194 


10 CSR 20-9.020 

Clean Water Commission 

43 MoReg 1743 

44 MoReg 194 


10 CSR 20-9.030 

Clean Water Commission 

43 MoReg 1746 

44 MoReg 196 


10 CSR 20-14.010 

Clean Water Commission 

43 MoReg 1749 

44 MoReg 195 


10 CSR 20-14.020 

Clean Water Commission 

43 MoReg 1749 

44 MoReg 196 


10 CSR 22-1.020 

Dam and Reservoir Safety Council 

43 MoReg 2161 

44 MoReg 3 94 


10 CSR 22-2.010 

Dam and Reservoir Safety Council 

43 MoReg 2162 

44 MoReg 394 


10 CSR 22-2.020 

Dam and Reservoir Safety Council 

43 MoReg 2162 

44 MoReg 394 


10 CSR 22-2.100 

Dam and Reservoir Safety Council 

43 MoReg 2163 

44 MoReg 3 94 


10 CSR 22-3.020 

Dam and Reservoir Safety Council 

43 MoReg 2163 

44 MoReg 394 


10 CSR 22-3.030 

Dam and Reservoir Safety Council 

43 MoReg 2165 

44 MoReg 394 


10 CSR 22-3.040 

Dam and Reservoir Safety Council 

43 MoReg 2166 

44 MoReg 3 Pi 


10 CSR 22-3.050 

Dam and Reservoir Safety Council 

43 MoReg 2169 

44 MoReg 395 


10 CSR 22-4.020 

Dam and Reservoir Safety Council 

43 MoReg 2170 

44 MoReg 395 


10 CSR 23-1.010 

Well installation 

43 MoReg 2170 

44 MoReg 3 Pi 


10 CSR 23-1.030 

Well installation 

43 MoReg 2176R 

44 MoReg 396R 


10 CSR 23-1.040 

Well Installation 

43 MoReg 2176 

44 MoReg 3P6 


10 CSR 23-1.050 

Well installation 

43 MoReg 2177 

44 MoReg 396 


10 CSR 23-1.060 

Well installation 

43 MoReg 2181R 

44 MoReg 398R 


10 CSR 23-1.075 

Well Installation 

43 MoReg 2181 

44 MoReg 3P8 


10 CSR 23-1.080 

Well Installation 

43 MoReg 2183R 

44 MoReg 398R 


10 CSR 23-1.090 

Well installation 

43 MoReg 2183 

44 MoReg 398 


10 CSR 23-1.105 

Well Installation 

43 MoReg 2184 

44 MoReg 3W 


10 CSR 23-1.130 

Well Installation 

43 MoReg 2185R 

44 MoReg 399R 


10 CSR 23-1.140 

Well installation 

43 MoReg 2185 

44 MoReg 399 


10 CSR 23-1.155 

Well Installation 

43 MoReg 2185R 

44 MoReg 4UUR 


10 CSR 23-1.160 

Well Installation 

43 MoReg 2186 

44 MoReg 400 


10 CSR 23-2.010 

Well installation 

43 MoReg 2186 

44 MoReg 4UU 


10 CSR 23-2.020 

Well Installation 

43 MoReg 2188 

44 MoReg 4UU 


10 CSR 23-3.010 

Well Installation 

43 MoReg 2188 

44 MoReg 401 


10 CSR 23-3.020 

Well installation 

43 MoReg 2191 

44 MoReg 403 


1U CSR 23-3.030 

Well Installation 

43 MoReg 2192 

44 MoReg 403 


10 CSR 23-3.040 

Well Installation 

43 MoReg 2203R 

44 MoReg 403R 


10 CSR 23-3.050 

Well installation 

43 MoReg 2203 

44 MoReg 403 


10 CSR 23-3.060 

Well Installation 

43 MoReg 2213R 

44 MoReg 4U4R 


10 CSR 23-3.070 

Well Installation 

43 MoReg 2213R 

44 MoReg 404R 


10 CSR 23-3.080 

Well installation 

43 MoReg 2213 

44 MoReg 404 


10 CSR 23-3.090 

Well Installation 

43 MoReg 2218 

44 MoReg 404 


10 CSR 23-3.100 

Well Installation 

43 MoReg 2246R 

44 MoReg 408R 


10 CSR 23-3.110 

Well installation 

43 MoReg 2246 

44 MoReg 408 


10 CSR 23-4.010 

Well Installation 

43 MoReg 2250R 

44 MoReg 409R 


10 CSR 23-4.020 

Well Installation 

43 MoReg 2250R 

44 MoReg 409R 


10 CSR 23-4.030 

Well installation 

43 MoReg 2260R 

44 MoReg 4U9R 


10 CSR 23-4.050 

Well Installation 

43 MoReg 2250 

44 MoReg 409 


10 CSR 23-4.060 

Well Installation 

43 MoReg 2251 

44 MoReg 409 


10 CSR 23-4.080 

Well installation 

43 MoReg 2266 

44 MoReg 410 


10 CSR 23-5.010 

Well Installation 

43 MoReg 2256R 

44 MoReg 410R 


10 CSR 23-5.020 

Well Installation 

43 MoReg 2256R 

44 MoReg 410R 


10 CSR 23-5.030 

Well installation 

43 MoReg 2266 

44 MoReg 410 


10 CSR 23-5.040 

Well installation 

43 MoReg 2256 

44 MoReg 410 


10 CSR 23-5.050 

Well installation 

43 MoReg 2257 

44 MoReg 410 


10 CSR 23-5.060 

Well installation 

43 MoReg 2269 

44 MoReg 411 


10 CSR 23-5.080 

Well installation 

43 MoReg 2259 

44 MoReg 411 


10 CSR 23-6.010 

Well Installation 

43 MoReg 2260R 

44 MoReg 411R 


10 CSR 23-6.020 

Well Installation 

43 MoReg 2260 

44 MoReg 411 


10 CSR 23-6.030 

Well installation 

43 MoReg 2261 

44 MoReg 411 


10 CSR 23-6.040 

Well installation 

43 MoReg 2261 

44 MoReg 411 


10 CSR 23-6.050 

Well Installation 

43 MoReg 2261 

44 MoReg 412 


10 CSR 23-6.060 

Well installation 

43 MoReg 2263R 

44 MoReg 412R 


10 CSR 25-2.010 

Hazardous Waste Management Commission 

43 MoReg 1769 

44 MoReg 6U9 


10 CSR 25-2.020 

Hazardous Waste Management Commission 

43 MoReg 1759R 

44 MoReg 610R 


10 CSR 25-3.260 

Hazardous Waste Management Commission 

43 MoReg 1759 

44 MoReg 61U 


10 CSR 25-4.261 

Hazardous Waste Management Commission 

43 MoReg 1761 

44 MoReg 611 


10 CSR 25-5.262 

Hazardous Waste Management Commission 

43 MoReg 1765 

44 MoReg 612 


10 CSR 25-6.263 

Hazardous Waste Management Commission 

43 MoReg 1767 

44 MoReg 614 


10 CSR 25-7.264 

Hazardous Waste Management Commission 

43 MoReg 1772 

44 MoReg 616 


10 CSR 25-7.265 

Hazardous Waste Management Commission 

43 MoReg 1774 

44 MoReg 618 


10 CSR 25-7.266 

Hazardous Waste Management Commission 

43 MoReg 177 / 

44 MoReg 618 


10 CSR 25-7.270 

Hazardous Waste Management Commission 

43 MoReg 1778 

44 MoReg 618 


10 CSR 25-8.124 

Hazardous Waste Management Commission 

43 MoReg 1779 

44 MoReg 619 


10 CSR 25-9.020 

Hazardous Waste Management Commission 

43 MoReg 1/8/R 

44 MoReg 61 PR 


10 CSR 25-10.010 

Hazardous Waste Management Commission 

43 MoReg 1790R 

44 MoReg 619R 


10 CSR 25-11.279 

Hazardous Waste Management Commission 

43 MoReg 1790 

44 MoReg 619 


10 CSR 25-12.010 

Hazardous Waste Management Commission 

43 MoReg 1792 

44 MoReg 62U 


10 CSR 25-13.010 

Hazardous Waste Management Commission 

43 MoReg 1795 

44 MoReg 620 


10 CSR 25-15.010 

Hazardous Waste Management Commission 

43 MoReg 1798 

44 MoReg 620 


10 CSR 25-16.273 

Hazardous Waste Management Commission 

43 MoReg 1800 

44 MoReg 62U 


10 CSR 26-2.080 

Petroleum and Hazardous Substance 

Storage Tanks 

43 MoReg 2263 

44 MoReg 621W 


10 CSR 50-1.020 

Oil and (Jas Council 

43 MoReg 2266 

44 MoReg 412 


10 CSR 50-1.030 

Oil and Gas Council 

43 MoReg 2266 

44 MoReg 412 



10 CSR 50-1.050 Oil and Gas Council 43 MoReg 2268 44 MoReg 413 






Page 866 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

Agency Emergency 

Proposed 

Order 

In Addition 

10 CSR 50-2.010 

Oil and Gas Council 

43 MoReg 2268 

44 MoReg 413 


10 CSR 50-2.020 

Oil and Gas Council 

43 MoReg 2269 

44 MoReg 413 


10 CSR 50-2.030 

Oil and Gas Council 

43 MoReg 2272 

44 MoReg 413 


10 CSR 50-2.040 

Oil and Gas Council 

43 MoReg 2273 

44 MoReg 414 


10 CSR 50-2.055 

Oil and Gas Council 

43 MoReg 2274 

44 MoReg 414 


10 CSR 50-2.060 

Oil and Gas Council 

43 MoReg 2276 

44 MoReg 414 


10 CSR 50-2.065 

Oil and Gas Council 

43 MoReg 2278 

44 MoReg 414 


10 CSR 50-2.080 

Oil and Gas Council 

43 MoReg 2279 

44 MoReg 414 


10 CSR 50-2.090 

Oil and Gas Council 

43 MoReg 2280 

44 MoReg 414 


10 CSR 60-3.010 

Sate Drinking Water Commission 

43 MoReg 18U2 

44 MoReg 197 


10 CSR 60-3.020 

Safe Drinking Water Commission 

43 MoReg 1803 

44 MoReg 198 


10 CSR 60-3.030 

Sate Drinking Water Commission 

43 MoReg 1804 

44 MoReg 198 


10 CSR 60-4.022 

Sate Drinking Water Commission 

43 MoReg 1805 

44 MoReg 198 


10 CSR 60-4.025 

Safe Drinking Water Commission 

43 MoReg 1809 

44 MoReg 198 


10 CSR 60-4.050 

Sate Drinking Water Commission 

43 MoReg 1812 

44 MoReg 199 


10 CSR 60-4.052 

Sate Drinking Water Commission 

43 MoReg 1813 

44 MoReg 199 


10 CSR 60-4.055 

Safe Drinking Water Commission 

43 MoReg 1816 

44 MoReg 199 


10 CSR 60-4.060 

Sate Drinking Water Commission 

43 MoReg 1819 

44 MoReg 199 


10 CSR 60-4.080 

Sate Drinking Water Commission 

43 MoReg 1820 

44 MoReg 200 


10 CSR 60-4.090 

Safe Drinking Water Commission 

43 MoReg 1824R 

44 MoReg 203R 


10 CSR 60-4.094 

Sate Drinking Water Commission 

43 MoReg 1824 

44 MoReg 203 


10 CSR 60-4.100 

Sate Drinking Water Commission 

43 MoReg 1834 

44 MoReg 203 


1U CSR 6U-6.U6U 

Sate Drinking Water Commission 

43 MoReg 1835 

44 MoReg 203 


10 CSR 60-6.070 

Safe Drinking Water Commission 

43 MoReg 1836 

44 MoReg 203 


10 CSR 60-7.010 

Sate Drinking Water Commission 

43 MoReg 1837 

44 MoReg 2U4 


10 CSR 60-8.010 

Sate Drinking Water Commission 

43 MoReg 1843 

44 MoReg 204 


10 CSR 60-8.030 

Safe Drinking Water Commission 

43 MoReg 1848 

44 MoReg 204 


10 CSR 60-9.010 

Sate Drinking Water Commission 

43 MoReg I860 

44 MoReg 205 


10 CSR 60-11.010 

Sate Drinking Water Commission 

43 MoReg 186U 

44 MoReg 205 


10 CSR 60-11.030 

Safe Drinking Water Commission 

43 MoReg 1861 

44 MoReg 205 


10 CSR 60-13.010 

Sate Drinking Water Commission 

43 MoReg 1861 

44 MoReg 205 


10 CSR 60-13.020 

Sate Drinking Water Commission 

43 MoReg 1863 

44 MoReg 205 


10 CSR 60-13.025 

Safe Drinking Water Commission 

43 MoReg 1875 

44 MoReg 207 


10 CSR 60-13.030 

Sate Drinking Water Commission 

43 MoReg 1885 

44 MoReg 2U8 


10 CSR 60-14.010 

Sate Drinking Water Commission 

43 MoReg 1888 

44 MoReg 210 


10 CSR 60-14.020 

Safe Drinking Water Commission 

43 MoReg 1891 

44 MoReg 210 


10 CSR 70-2.010 

Soil and Water Districts Commission 

43 MoReg 1437 

43 MoReg 3637 


10 CSR 70-2.020 

Soil and Water Districts Commission 

43 MoReg 1438 

43 MoReg 3638 


10 CSR 70-3.010 

Soil and Water Districts Commission 

43 MoReg 1439 

43 MoReg 3638 


10 CSR 70-4.010 

Soil and Water Districts Commission 

43 MoReg 1441 

43 MoReg 3639 


10 CSR 70-5.010 

Soil and Water Districts Commission 

43 MoReg 1441 

43 MoReg 364U 


10 CSR 70-5.020 

Soil and Water Districts Commission 

43 MoReg 1442 

43 MoReg 3641 


10 CSR 70-5.030 

Soil and Water Districts Commission 

43 MoReg 1444 

43 MoReg 3642 


10 CSR 70-5.040 

Soil and Water Districts Commission 

43 MoReg 1445 

43 MoReg 3643 


10 CSR 70-5.050 

Soil and Water Districts Commission 

43 MoReg 1445 

43 MoReg 3643 


10 CSR 70-5.060 

Soil and Water Districts Commission 

43 MoReg 1447 

43 MoReg 3644 


10 CSR 70-6.010 

Soil and Water Districts Commission 

43 MoReg 1448 

43 MoReg 3644 


10 CSR 80-2.010 

Solid Waste Management 

44 MoReg 501 



10 CSR 80-3.010 

Solid Waste Management 

43 MoReg 2280 

44 MoReg 414 


10 CSR 80-4.010 

Solid Waste Management 

43 MoReg 2307R 

44 MoReg 439R 


10 CSR 80-6.010 

Solid Waste Management 

43 MoReg 1892R 

44 MoReg 21/R 


10 CSR 80-7.010 

Solid Waste Management 

43 MoReg 1893 

44 MoReg 217 


10 CSR 80-8.020 

Solid Waste Management 

43 MoReg 1895 

44 MoReg 220 


10 CSR 80-8.030 

Solid Waste Management 

43 MoReg 1896 

44 MoReg 220 


10 CSR 80-8.050 

Solid Waste Management 

43 MoReg 1897 

44 MoReg 220 


10 CSR 80-9.030 

Solid Waste Management 

43 MoReg 1054 

44 MoReg 220 


10 CSR 80-9.035 

Solid Waste Management 

43 MoReg 11)55 

44 MoReg 221 


10 CSR 80-11.010 

Solid Waste Management 

44 MoReg 511 



10 CSR 80-12.010 

Solid Waste Management 

44 MoReg 542 



10 CSR 90-2.010 

State Parks 

43 MoReg 1905 

44 MoReg 221 


10 CSR 90-2.020 

State Parks 

43 MoReg 1906 

44 MoReg 221 


10 CSR 90-2.030 

State Parks 

43 MoReg 1908 

44 MoReg 222 


10 CSR 90-2.040 

State Parks 

43 MoReg 1912 

44 MoReg 222 


10 CSR 90-2.050 

State Parks 

43 MoReg 1913 

44 MoReg 222 


10 CSR 90-2.070 

State Paries 

43 MoReg 1914 

44 MoReg 222 


10 CSR 130-1.010 

State Environmental Improvement and Energy 

Resources Authority 

43 MoReg 2308 

43 MoReg 3237 

43 MoReg 3645W 
This Issue 


10 CSR 130-1.020 

State Environmental improvement and Energy 

Resources Authority 

43 MoReg 2309 

43 MoReg 3238 

43 MoReg 3645W 
This Issue 


11 CSR 

DEPARTMENT OF PUBLIC SAFETY 

Department of Public Safety 



42 MoReg 990 

11 CSR 30-8.010 

Office ot the Director 

43 MoReg 1328R 



11 CSR 30-8.020 

Ottice ot the Director 

43 MoReg 1328R 



11 CSR 30-8.030 

Office of the Director 

43 MoRef 1328R 



11 CSR 30-8.040 

Ottice ot the Director 

43 MoReg 1328R 



11 CSR 30-9.010 

Ottice ot the Director 

43 MoReg 1329R 



11 CSR 30-9.020 

Office of the Director 

43 MoReg 1329R 



11 CSR 30-9.030 

Ottice ot the Director 

43 MoReg 1329R 



11 CSR 30-9.040 

Ottice ot the Director 

43 MoReg 1329R 



11 CSR 30-9.050 

Office of the Director 

43 MoReg 1330R 



11 CSR 30-16.010 

Ottice ot the Director 

42 MoReg 180 



11 CSR 30-16.020 

Ottice ot the Director 

42 MoReg 182 



11 CSR 45-7.090 

Missouri Gaming Commission 

43 MoReg 1448R 

43 MoReg 3645R 


11 CSR 45-7.130 

Missouri Gaming Commission 

43 MoReg 3485 



11 CSR 45-9.102 

Missouri Gaming Commission 

43 MoReg 3486 



11 CSR 45-9.106 

Missouri Gaming Commission 

43 MoReg 3486 



11 CSR 45-9.109 

Missouri Gaming Commission 

43 MoReg 3486 




11 CSR 45-9.116 Missouri Gaming Commission 43 MoReg 3487 









March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 867 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

11 CSR 45-9.117 

Missouri Gaming Commission 


43 MoReg 3487 



11 CSR 45-10.020 

Missouri Gaming Commission 


43 MoReg 1449 

43 MoReg 3645 


11 CSR 45-30.020 

Missouri Gaming Commission 


43 MoReg 3488R 



11 CSR 45-40.030 

Missouri Gaming Commission 


43 MoReg 3488 



11 CSR 45-40.060 

Missouri Gaming Commission 


43 MoReg 1449 

43 MoReg 3646 


11 CSR 50-2.010 

Missouri State Highway Patrol 


44 MoReg 681 



11 CSR 50-2.030 

Missouri State Highway Patrol 


44 MoReg 682 



11 CSR 50-2.100 

Missouri State Highway Patrol 


44 MoReg 682 



11 CSR 50-2.110 

Missouri State Highway Patrol 


44 MoReg 683 



11 CSR 50-2.335 

Missouri State Highway Patrol 


44 MoReg 683 



11 CSR 70-1.010 

Division of Alcohol and Tobacco Control 


43 MoReg 3240 



11 CSR 70-2.010 

Division of Alcohol and Tobacco Control 


43 MoReg 3241 



11 CSR 70-2.020 

Division of Alcohol and Tobacco Control 


43 MoReg 3242 



11 CSR 70-2.030 

Division of Alcohol and Tobacco Control 


43 MoReg 3244 



11 CSR 70-2.040 

Division of Alcohol and Tobacco Control 


43 MoReg 3245 



11 CSR 70-2.050 

Division of Alcohol and Tobacco Control 


43 MoReg 3246 



11 CSR 70-2.060 

Division of Alcohol and Tobacco Control 


43 MoReg 3247 



11 CSR 70-2.070 

Division of Alcohol and Tobacco Control 


43 MoReg 3248 



11 CSR 70-2.080 

Division of Alcohol and Tobacco Control 


43 MoReg 3248 



11 CSR 70-2.090 

Division of Alcohol and Tobacco Control 


43 MoReg 3249 



11 CSR 70-2.100 

Division of Alcohol and Tobacco Control 


43 MoReg 3249 



11 CSR 70-2.120 

Division of Alcohol and Tobacco Control 


43 MoReS 3250 



11 CSR 70-2.130 

Division of Alcohol and Tobacco Control 


43 MoReg 3252 



11 CSR 70-2.140 

Division of Alcohol and Tobacco Control 


43 MoReg 1915 

43 MoReg 3865 


11 CSR 70-2.150 

Division of Alcohol and Tobacco Control 


43 MoReg 3253 



11 CSR 70-2.170 

Division of Alcohol and Tobacco Control 


43 MoReg 3254 



11 CSR 70-2.180 

Division of Alcohol and Tobacco Control 


43 MoReg 3255 



11 CSR 70-2.190 

Division of Alcohol and Tobacco Control 


43 MoReg 3255 



11 CSR 70-2.200 

Division of Alcohol and Tobacco Control 


43 MoReg 1917R 

43 MoReg 3865R 


11 CSR 70-2.220 

Division of Alcohol and Tobacco Control 


43 MoReg 2462R 

43 MoReg 3865R 


11 CSR 70-2.230 

Division of Alcohol and Tobacco Control 


43 MoReg 3257 



11 CSR 70-2.240 

Division of Alcohol and Tobacco Control 

43 MoReg 3199 

This Issue 



11 CSR 70-2.250 

Division of Alcohol and Tobacco Control 


43 MoReg 3258 



11 CSR 70-2.260 

Division of Alcohol and Tobacco Control 


43 MoReg 3259 



11 CSR 70-2.270 

Division of Alcohol and Tobacco Control 


43 MoReg 3259 



11 CSR 70-2.280 

Division of Alcohol and Tobacco Control 


43 MoReS 3260 



11 CSR 70-3.010 

Division of Alcohol and Tobacco Control 


43 MoReg 3262 



11 CSR 70-3.020 

Division of Alcohol and Tobacco Control 


43 MoReg 2462R 

43 MoReg 3866R 


12 CSR 

DEPARTMENT OF REVENUE 

Department of Revenue 




42 MoReg 990 

12 CSR 10-2.010 

Director of Revenue 


43 MoReg 3263 



12 CSR 10-3.017 

Director of Revenue 
(Changed to 12 CSR 10-103.017) 


43 MoReg 3266 



12 CSR 10-3.858 

Director of Revenue 
(Changed to 12 CSR 10-110.858) 


43 MoReg 3268 



12 CSR 10-3.876 

Director of Revenue 
(Changed to 12 CSR 10-103.876) 


43 MoReg 3266 



12 CSR 10-4.320 

Director of Revenue 
(Changed to 12 CSR 10-113.320) 


43 MoReg 3268 



12 CSR 10-10.120 

Director of Revenue 


43 MoReg 3268 



12 CSR 10-23.100 

Director of Revenue 


43 MoReg 3489 




12 CSR 10-23.260 


12 CSR 10-23.280 


Director of Revenue 


Director of Revenue 


43 Mo Reg 3491T 


43 Mo Reg 349T 


12 CSR 10-23.340 


Director ol Revenue 


43 MoReg 349T 


12 CSR 10-23.345 


Director ol Revenue 


43 Mo Reg 3492~ 


12 CSR 10-23.350 


Director ol Revenue 


43 MoReg 3492 


12 CSR 10-23.370 


Director ol Revenue 


43 MoReg 3W~ 


12 CSR 10-23.405 


Director ol Revenue 


43 MoReg 3W~ 


12 CSR 10-23.424 


Director ol Revenue 


43 MoReg 3495~ 


12 CSR 10-24.405 


Director of Revenue 


This Issue 


12 CSR 10-24.448 


Director ol Revenue 


43 MoReg 254T 


44 MoReg 222~ 


12 CSR 10-24.470 


Director ol Revenue 


43 MoReg 2645R 44 MoReg 223R~ 


12 CSR 10-26.080 


Director ol Revenue 


43 MoReg 3495~ 


12 CSR 10-26.180 


Director ol Revenue 


43 MoReg 3495~ 


12 CSR 10-26.190 


Director ol Revenue 


43 MoReg 3495~ 


12 CSR 10-41.010 


Director ol Revenue 


43 MoReg 3347~ 


43 MoReg 349T 


12 CSR 10-101.500 Director of Revenue 


43 MoReg 3269 


12 CSR 10-103.017 


Director ot Revenue 
(Changed from 12 CSR 10-3.017) 


43 MoReg 3266 


12 CSR 10-103.395 Director of Revenue 


43 MoReg 3271T 


12 CSR 10-103.700 Director of Revenue 


43 MoReg 3271T 


12 CSR 10-103.876 


Director of Revenue 
(Changed from12 CSR 10-3.876) 


43 MoReg 3266 


12 CSR 10-110.858 


Director of Revenue 
(Changedfrom 12 CSR 10-3.858) 


43 MoReg 3268 


12 CSR 10-113.320 


Director ol Revenue 
(Changed from 12 CSR 10-4320) 


43 MoReg 3268 


12 CSR 40-10.040 State Lottery 


44 MoReg 274^ 


12 CSR 40-40.280 State Lottery 


44 MoReg 275~ 


12 CSR 40-50.060 State Lottery 


44 MoReg 275~ 


12 CSR 40-70.040 State Lottery 


44 MoReg 275~ 


DEPARTMENT OF SOCIAL SERVICES 

13 CSR Department of Social Services 42 MoReg 990 

13 CSR 5-2.010 Office of the Director 43 MoReg 2654 44 MoReg 704 

(Changed from 13 CSR 45-2.010) 

13 CSR 10-3.010 Division ot Finance and Administrative 
Services 

(Changedfrom 13 CSR 35-100.010) 


43 MoReg 2544 


44 MoReg 621 






Page 868 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number Agency 

13 CSR 10-3.020 Division of Finance and Administrative 

Services 

(Changed from 13 CSR 35-100.020) 


Emergency 


Proposed 

43 MoReg 2546 


Order 

44 MoReg 621 


In Addition 


13 CSR 10-3.030 

Division ot finance and Administrative 
Services 

(Changed from 13 CSR 35-100.030) 


43 MoReg 2549 

44 MoReg 622 

13 CSR 10-3.040 

Division ot Finance and Administrative 
Services 

(Changed from 13 CSR 40-79.010) 


43 MoReg 2553 

44 MoReg 622 

13 CSR 10-3.050 

Division ot Finance and Administrative 
Services 


43 MoReg 2543 

44 MoReg 622 

13 CSR 10-3.060 

Division ot Finance and Administrative 
Services 


This Issue 


13 CSR 10-3.070 

Division of Finance and Administrative 
Services 


This Issue 


13 CSR 10-4.010 

Division ot Finance and Administrative 
Services 

43 MoReg 2455 

43 MoReg 2462 

44 MoReg 439 

13 CSR 15-19.010 

Division ot Aging 


43 MoReg 2853R 

This IssueR 

13 CSR 30-2.010 

Child Support Enforcement 
(Changed to 13 CSR 40-108.040) 


43 MoReg 2645 

44 MoReg 706 

13 CSR 30-4.020 

Child Support Enforcement 
(Changed to 13 CSR 40-104.010) 


43 MoReg 2648 

44 MoReg 705 

13 CSR 30-5.010 

Child Support Enforcement 
(Changed to 13 CSR 40-102.010) 


43 MoReg 2853 

T his Issue 

13 CSR 30-5.020 

Child Support Enforcement 
(Changed to 13 CSR 40-106.010) 


43 MoReg 3072 


13 CSR 30-6.010 

Child Support Enforcement 
(Changed to 13 CSR 40-104.020) 


43 MoReg 3074 


13 CSR 30-7.010 

Child Support Enforcement 
(Changed to 13 CSR 40-100.020) 


43 MoReg 3075 


13 CSR 30-8.010 

Child Support Enforcement 
(Changed to 13 CSR 40-100.030) 


43 MoReg 2855 

This Issue 

13 CSR 30-9.010 

Child Support Enforcement 
(Changed to 13 CSR 40-108.030) 


43 MoReg 2650 

44 MoReg 705 

13 CSR 30-10.010 

Child Support Enforcement 
(Changed to 13 CSR 40-110.040) 


43 MoReg 2651 

44 MoReg 706 

13 CSR 35-31.015 

Children’s Division 


43 MoReg 2652 

44 MoReg 704 

13 CSR 35-34.080 

Children’s Division 


43 MoReg 35U2 


13 CSR 35-35.050 

Children’s Division 
(Changed from 13 CSR 40-30.010) 


43 MoReg 2654 

44 MoReg 704 

13 CSR 35-60.030 

Children’s Division 


43 MoReg 3081 


13 CSR 35-73.010 

Children’s Division 
(Changed from 13 CSR 40-73.010) 


43 MoReg 2979 


13 CSR 35-73.012 

Children’s Division 
(Changed from 13 CSR 40-73.012) 


43 MoReg 2857 

T his Issue 

13 CSR 35-73.030 

Children’s Division 
(Changed from 13 CSR 40-73.030) 


43 MoReg 2858 

This Issue 

13 CSR 35-73.035 

Children’s Division 
(Changed from 13 CSR 40-73.035) 


43 MoReg 2979 


13 CSR 35-73.040 

Children’s Division 
(Changed from 13 CSR 40-73.040) 


43 MoReg 2980 


13 CSR 35-73.050 

Children’s Division 
(Changed from 13 CSR 40-73.050) 


43 MoReg 2980 


13 CSR 35-73.060 

Children’s Division 
(Changed from 13 CSR 40-73.060) 


43 MoReg 2981 


13 CSR 35-73.070 

Children’s Division 
(Changed from 13 CSR 40-73.070) 


43 MoReg 2981 


13 CSR 35-73.075 

Children’s Division 
(Changed from 13 CSR 40-73.075) 


43 MoReg 2981 


13 CSR 35-73.080 

Children’s Division 
(Changed from 13 CSR 40-73.080) 


43 MoReg 2982 


13 CSR 35-100.010 

Children’s Division 
(Changed to 13 CSR 10-3.010) 


43 MoReg 2544 

44 MoReg 621 

13 CSR 35-100.020 

Children’s Division 
(Changed to 13 CSR 10-3.020) 


43 MoReg 2546 

44 MoReg 621 

13 CSR 35-100.030 

Children’s Division 
(Changed to 13 CSR 10-3.030) 


43 MoReg 2549 

44 MoReg 622 

13 CSR 40-2.010 

Family Support Division 


43 MoReg 3082 


13 CSR 40-2.020 

Family Support Division 


43 MoReg 3082 


13 CSR 40-2.040 

Family Support Division 


43 MoReg 3082 


13 CSR 40-2.050 

Family Support Division 


43 MoRef 2653 

44 MoReg 705 

13 CSR 40-2.090 

Family Support Division 


43 MoReg 2551R 

44 MoReg 622R 

13 CSR 40-2.100 

Family Support Division 


43 MoReg 2653 

44 MoReg 705 

13 CSR 40-2.120 

Family Support Division 


43 MoRef 3083 


13 CSR 40-2.150 

Family Support Division 


43 MoReg 2551 

44 MoReg 622 

13 CSR 40-2.200 

Family Support Division 


43 MoReg 3084 


13 CSR 40-2.260 

Family Support Division 


43 MoRef 3085 


13 CSR 40-2.375 

Family Support Division 


43 MoReg 2552R 

44 MoReg 623R 

13 CSR 40-2.395 

Family Support Division 


43 MoReg 3086 


13 CSR 40-3.020 

Family Support Division 
(Changed to 13 CSR 40-108.020) 


43 MoRef 2653 

44 MoReg 705 

13 CSR 40-7.010 

Family Support Division 


43 MoReg 3087 


13 CSR 40-7.020 

Family Support Division 


43 MoReg 2654 

44 MoReg 705 

13 CSR 40-7.070 

Family Support Division 


43 MoReg 2552 

44 MoReg 623 

13 CSR 40-30.010 

Family Support Division 
(Changed to 13 CSR 35-35.050) 


43 MoReg 2654 

44 MoReg 704 

13 CSR 40-32.020 

Family Support Division 


43 MoReg 2856R 

This IssueR 

13 CSR 40-34.012 

Family Support Division 


43 MoReg 191/R 

43 MoReg 3866R 

13 CSR 40-34.060 

Family Support Division 


43 MoReg 3089R 


13 CSR 40-36.001 

Family Support Division 


43 MoReg 2857R 

This IssueR 


13 CSR 40-50.010 Family Support Division 


43 MoReg 3089R 







March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 869 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

13 CSR 40-73.010 

Family Support Division 
(Changed to 13 CSR 35-73.010) 


43 MoReg 2979 




13 CSR 40-73.012 

Family Support Division 
(Changed to 13 CSR 35-73.012) 


43 MoReg 2857 

This Issue 

13 CSR 40-73.015 

Family Support Division 


43 MoReg 2857R 

This IssueR 

13 CSR 40-73.018 

Family Support Division 


43 MoReg 285SR 

This IssueR 

13 CSR 40-73.U3U 

Family Support Division 
(Changed to 13 CSR 35-73.030) 


43 MoReg 2838 

This Issue 

13 CSR 40-73.035 

Family Support Division 
(Changed to 13 CSR 35-73.035) 


43 MoReg 2979 


13 CSR 40-73.040 

Family Support Division 
(Changed to 13 CSR 35-73.040) 


43 MoReg 2980 


13 CSR 40-73.050 

Family Support Division 
(Changed to 13 CSR 35-73.050) 


43 MoReg 2980 


13 CSR 40-73.060 

Family Support Division 
(Changed to 13 CSR 35-73.060) 


43 MoReg 2981 


13 CSR 40-73.070 

Family Support Division 
(Changed to 13 CSR 35-73.070) 


43 MoReg 2981 


13 CSR 40-73.075 

Family Support Division 
(Changed to 13 CSR 35-73.075) 


43 MoReg 2981 


13 CSR 40-73.080 

Family Support Division 
(Changed to 13 CSR 35-73.080) 


43 MoReg 2982 


13 CSR 40-79.010 

Family Support Division 
(Changed to 13 CSR 10-3.040) 


43 MoReg 2553 

44 MoReg 622 

13 CSR 40-80.010 

Family Support Division 


43 MoReg 2555R 

44 MoReg 623R 

13 CSR 40-91.010 

Family Support Division 


43 MoReg 3089 


13 CSR 40-91.030 

Family Support Division 


43 MoReg 3U92 


13 CSR 40-100.020 

Family Support Division 
(Changed from 13 CSR 30-7.010) 


43 MoReg 3075 


13 CSR 40-100.030 

Family Support Division 
(Changed from 13 CSR 30-8.010) 


43 MoReg 2833 

This Issue 

13 CSR 40-102.010 

Family Support Division 
(Changed from 13 CSR 30-5.010) 


43 MoReg 2853 

This Issue 

13 CSR 40-104.010 

Family Support Division 
(Changed from 13 CSR 30-4.020) 


43 MoReg 2648 

44 MoReg 703 

13 CSR 40-104.020 

Family Support Division 
(Changed from 13 CSR 30-6.010) 


43 MoReg 3074 


13 CSR 40-106.010 

Family Support Division 
(Changed from 13 CSR 30-5.020) 


43 MoReg 3072 


13 CSR 40-108.020 

Family Support Division 
(Changed from 13 CSR 40-3.020) 


43 MoReg 2633 

44 MoReg 703 

13 CSR 40-108.030 

Family Support Division 
(Changed from 13 CSR 30-9.010) 


43 MoReg 2650 

44 MoReg 705 

13 CSR 40-108.040 

Family Support Division 
(Changed from 13 CSR 30-2.010) 


43 MoReg 2643 

44 MoReg /U6 

13 CSR 40-110.040 

Family Support Division 
(Changed from 13 CSR 30-10.010) 


43 MoReg 2651 

44 MoReg 706 

13 CSR 45-2.010 

Division of Legal Services 
(Changed to 13 CSR 5-2.010) 


43 MoReg 2654 

44 MoReg 704 

13 CSR 65-3.010 

Missouri Medicaid Audit and Compliance 

This Issue 

43 MoReg 2555 

44 MoReg 441) 

13 CSR 65-3.U6U 

Missouri Medicaid Audit and Compliance 


43 MoReg 2838 

This Issue 

13 CSR 70-2.100 

MO FlealthNet Division 


43 MoReg 2859 

This Issue 

13 CSR 70-3.100 

MO FlealthNet Division 


43 MoReg 3092 


13 CSR 70-3.130 

MO FlealthNet Division 


43 MoReg 2H6UR 

This IssueR 

13 CSR 70-3.190 

MO FlealthNet Division 


43 MoReg 1917R 

43 MoReg 3866R 

13 CSR 70-3.230 

MO FlealthNet Division 


43 MoReg 286U 

This Issue 

13 CSR 70-3.270 

MO FlealthNet Division 


43 MoReg 2557 

44 MoReg 623W 

13 CSR 70-3.280 

MO FlealthNet Division 


44 MoReg 563 


13 CSR 70-3.290 

MO FlealthNet Division 


44 MoReg 364 


13 CSR 70-3.300 

MO FlealthNet Division 


43 MoReg 2658 

44 MoReg 706 

13 CSR 70-4.051 

MO FlealthNet Division 


43 MoReg 3093 


13 CSR 70-4.070 

MO FlealthNet Division 


43 MoReg 1918R 

43 MoReg 3866R 

13 CSR 70-10.016 

MO FlealthNet Division 

44 MoReg 494 

43 MoReg 3094 

This Issue 

13 CSR 70-10.070 

MO FlealthNet Division 


43 MoReg 2866 

This Issue 

13 CSR 70-10.120 

MO FlealthNet Division 


43 MoReg 2661 

44 MoReg 713 

13 CSR 70-10.160 

MO FlealthNet Division 


43 MoReg 2866 

This Issue 

13 CSR 70-15.010 

MO FlealthNet Division 

43 MoReg 1991 

43 MoReg 2311 

43 MoReg 3646 

13 CSR 70-15.110 

MO FlealthNet Division 

43 MoReg 1994 

43 MoReg 2315 

43 MoReg 3646 

13 CSR 70-15.160 

MO FlealthNet Division 


44 MoReg 683 


13 CSR 70-20.030 

MO FlealthNet Division 


43 MoReg 2868 

This Issue 

13 CSR 70-20.031 

MO FlealthNet Division 


43 MoReg 3099 


13 CSR 70-20.032 

MO FlealthNet Division 


43 MoReg 1918R 

43 MoReg 3866R 

13 CSR 70-20.034 

MO FlealthNet Division 


43 MoReg 3099R 


13 CSR 70-20.040 

MO FlealthNet Division 


43 MoReg 1918R 

43 MoReg 3866R 

13 CSR 70-20.060 

MO FlealthNet Division 


43 MoReg 2564 

44 MoReg 623W 

13 CSR 70-20.070 

MO FlealthNet Division 


43 MoReg 2566 

44 MoReg 624 

13 CSR 70-20.340 

MO FlealthNet Division 


43 MoReg 3U99 


13 CSR 70-26.010 

MO FlealthNet Division 


43 MoReg 3101 


13 CSR 70-30.010 

MO FlealthNet Division 


43 MoReg 31U3 


13 CSR 70-94.010 

MO FlealthNet Division 


43 MoReg 3502 


13 CSR 70-98.015 

MO FlealthNet Division 


43 MoReg 3103 


13 CSR 70-98.020 

MO FlealthNet Division 


43 MoReg 3103 


13 CSR 110-2.060 

Division ot Youth Services 


43 MoReg 2662 

44 MoReg 713 

13 CSR 110-2.120 

Division ot Youth Services 


43 MoReg 2663 

44 MoReg 713 

13 CSR 110-3.010 

Division of Youth Services 


43 MoReg 3106 


13 CSR 110-3.015 

Division ot Youth Services 


43 MoReg 286SR 

t his IssueR 

13 CSR 110-3.020 

Division ot Youth Services 


43 MoReg 2H69R 

This IssueR 

13 CSR 110-3.030 

Division ot Youth Services 


43 MoReg 3505 


13 CSR 110-3.040 

Division ot Youth Services 


43 MoReg 3106 


13 CSR 110-3.050 

Division of Youth Services 


43 MoReg 3271R 



13 CSR 110-3.060 Division of Youth Services 43 MoReg 3107 








Page 870 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

13 CSR 110-7.010 

Division of Youth Services 


44 MoReg 97 



13 CSR 110-8.010 

Division of Youth Services 


44 MoReg 565 



13 CSR 110-8.020 

Division of Youth Services 


44 MoReg 566 



14 CSR 

DEPARTMENT OF CORRECTIONS 

Department of Corrections 




42 MoReg 990 

15 CSR 

ELECTED OFFICIALS 

Elected Officials 




43 MoReg 1498 

15 CSR 30-70.010 

Secretary of State 

43 MoReg 2765 

43 MoReg 2869 

44 MoReg 441 


15 CSR 30-70.020 

Secretary of State 

43 MoReg 2766 

43 MoReg 2870 

44 MoReg 441 


15 CSR 30-70.030 

Secretary of State 

43 MoReg 2 /67 

43 MoReg 2870 

44 MoReg 441 


15 CSR 30-70.040 

Secretary of State 

43 MoReg 2768 

43 MoReg 2871 

44 MoReg 441 


15 CSR 30-70.050 

Secretary of State 

43 MoReg 2 /68 

43 MoReg 28 /2 

44 MoReg 441 


15 CSR 30-70.060 

Secretary ot State 

43 MoReg 2769 

43 MoReg 2872 

44 MoReg 441 


15 CSR 30-70.070 

Secretary of State 

43 MoReg 2770 

43 MoReg 2872 

44 MoReg 442 


15 CSR 30-70.080 

Secretary ot State 

43 MoReg 2770 

43 MoReg 28 /3 

44 MoReg 442 


15 CSR 30-70.090 

Secretary ot State 

43 MoReg 2771 

43 MoReg 2873 

44 MoReg 442 


15 CSR 30-130.010 

Secretary ot State 

44 MoReg 22 

44 MoReg 99 



15 CSR 30-130.020 

Secretary ot State 

44 MoReg 22 

44 MoReg 99 



15 CSR 30-130.030 

Secretary ot State 

44 MoReg 23 

44 MoReg 100 



15 CSR 30-130.040 

Secretary ot State 

44 MoReg 23 

44 MoReg 102 



15 CSR 30-130.050 

Secretary ot State 

44 MoReg 24 

44 MoReg 102 



15 CSR 30-130.060 

Secretary ot State 

44 MoReg 24 

44 MoReg 103 



15 CSR 30-130.070 

Secretary ot State 

44 MoReg 25 

44 MoReg 103 



15 CSR 30-130.080 

Secretary ot State 

44 MoReg 26 

44 MoReg 103 



15 CSR 30-130.090 

Secretary ot State 

44 MoReg 26 

44 MoReg 104 



15 CSR 30-130.100 

Secretary of State 

44 MoReg 27 

44 MoReg 104 



15 CSR 40-3.125 

State Auditor 


This Issue 



15 CSR 40-3.135 

State Auditor 


This Issue 



16 CSR 

RETIREMENT SYSTEMS 

Retirement Systems 




43 MoReg 1498 

16 CSR 10-3.020 

The Public School Retirement Systems ot 
Missouri 


44 MoReg 686 



16 CSR 10-5.010 

The Public School Retirement Systems ot 
Missouri 


44 MoReg 686 



16 (J!SK 1U-6.U3U 

The Public School Retirement Systems ot 
Missouri 


44 MoReg 688 



16 (J!SK 1U-6.U6U 

The Public School Retirement Systems ot 
Missouri 


44 MoReg 688 



16 CSR 50-2.010 

the County Employees’ Retirement Fund 


42 MoReg 1591 

43 MoReg 293 


16 CSR 50-2.030 

the County Employees’ Retirement Fund 


42 MoReg 1592 

43 MoReg 293 


17 CSR 

BOARD OF POLICE COMMISSIONERS 

Board of Police Commissioners 




43 MoReg 1498 

18 CSR 

PUBLIC DEFENDER COMMISSION 

Public Defender Commission 




43 MoReg 1498 

19 CSR 10-10 

DEPARTMENT OF HEALTH AND SENIOR SERVICES 

Office of the Director 



42 MoReg 991 

19 CSR 10-10.130 

Orrice or the Director 

43 MoReg 2967 

43 MoReg 2982 

44 MoReg 627 


19 CSR 10-15.060 

Office ot the Director 


43 MoReg 2465 

44 MoReg 223 


19 CSR 20-60.010 

Division ot Community and Public Health 

44 MoReg 496 

44 MoReg 567 



19 CSR 25-36.010 

Missouri State Public Health Laboratory 


This Issue 



19 CSR 30-1.002 

Division ot Regulation and Licensure 

43 MoReg 3347 

43 MoReg 3506 



19 CSR 30-1.023 

Division ot Regulation and Licensure 

43 MoReg 2970 

43 MoReg 299U 

44 MoReg 713 


19 CSR 30-1.064 

Division ot Regulation and Licensure 

43 MoReg 2971 

43 MoReg 2990 

44 MoReg 714 


19 CSR 30-1.078 

Division ot Regulation and Licensure 

43 MoReg 2972 

43 MoReg 2991 

44 MoReg 714 


19 CSR 30-95.020 

Division ot Regulation and Licensure 

44 MoReg 271 

44 MoReg 276 



19 CSR 60-50 

Missouri Health f acilities Review Committee 




43 MoReg 3651 

44 MoReg 225 
44 MoReg 445 
44 MoReg 628 
This Issue 

19 CSR 73-2.023 

Missouri Board or Nursing Home Administrators 

43 MoReg 28 /4 

This Issue 


19 CSR 73-2.050 

Missouri Board ot Nursing Home Administrators 

43 MoReg 2875 

This Issue 


19 CSR 73-2.051 

Missouri Board ot Nursing Home Administrators 

43 MoReg 2876 

This Issue 


19 CSR 73-2.053 

Missouri Board ot Nursing Home Administrators 

43 MoReg 2876 

This Issue 


19 CSR 73-2.060 

Missouri Board ot Nursing Home Administrators 

43 MoReg 28 /7 

This Issue 


20 CSR 

DEPARTMENT OF INSURANCE, FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION 

Applied Behavior Analysis Maximum Benefit 

43 MoReg 477 
This Issue 

20 CSR 

Caps tor Medical Malpractice 




43 MoReg 13 /6 

20 CSR 

Construction Claims Binding Arbitration Cap 




43 MoReg 3869 

20 CSR 

Sovereign Immunity Limits 




43 MoReg 38 /0 

20 CSR 

State Legal Expense Lund Cap 




43 MoReg 3870 

20 CSR 10-3.900 

General Administration 


44 MoReg 688R 



20 CSR 100-1.010 

Insurer Conduct 


44 MoReg 276 



20 CSR 100-1.050 

Insurer Conduct 


44 MoReg 277 



20 CSR 100-1.070 

Insurer Conduct 


44 MoReg 2/8 



20 CSR 100-1.200 

Insurer Conduct 


44 MoReg 278R 



20 CSR 100-1.300 

Insurer Conduct 


44 MoReg 2 /9R 



20 CSR 100-2.100 

Insurer Conduct 


44 MoReg 279R 



20 CSR 100-3.100 

Insurer Conduct 


44 MoReg 279R 



20 CSR 100-4.010 

Insurer Conduct 


44 MoReg 2/9R 



20 CSR 100-4.020 

Insurer Conduct 


44 MoReg 280R 



20 CSR 100-4.030 

Insurer Conduct 


44 MoReg 28UR 



20 CSR 100-6.100 

Insurer Conduct 


43 MoReg 3512 



20 CSR 100-7.002 

Insurer Conduct 


44 MoReg 280 



20 CSR 100-7.005 

Insurer Conduct 


44 MoReg 281 




20 CSR 100-7.010 Insurer Conduct 44 MoReg 282R 







March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 871 


Rule Number 

Agency Emergency 

Proposed Order In Addition 

20 CSR 100-8.002 

Insurer Conduct 

44 MoReg 282 

20 CSR 100-8.005 

Insurer Conduct 

44 MoReg 283 

20 CSR 100-8.008 

Insurer Conduct 

44 MoReg 284 

20 CSR 100-8.010 

Insurer Conduct 

44 MoReg 283R 

20 CSR 100-8.012 

Insurer Conduct 

44 MoReg 285R 

20 CSR 100-8.014 

Insurer Conduct 

44 MoReg 286 

20 CSR 100-8.015 

Insurer Conduct 

44 MoReg 286 

20 CSR 100-8.018 

Insurer Conduct 

44 MoReg 287 

20 CSR 100-8.020 

Insurer Conduct 

44 MoReg 288R 

20 CSR 100-9.100 

Insurer Conduct 

4TTMdRegl5523 

20 CSR 200-1.005 

Insurance Solvency and Company Regulation 

43 MoRef 3523 

20 CSR 200-1.010 

Insurance Solvency and Company Regulation 

43 MoReg 3524R 

20 CSR 200-1.020 

Insurance Solvency and Company Regulation 

43 MoReg 3324 

20 CSR 200-1.025 

Insurance Solvency and Company Regulation 

43 MoReg 3526 

20 CSR 200-1.039 

Insurance Solvency and Company Regulation 

43 MoReg 3326R 

20 CSR 200-1.040 

Insurance Solvency and Company Regulation 

43 MoReg 3526 

20 CSR 200-1.050 

Insurance Solvency and Company Regulation 

43 MoReg 3527 

20 CSR 200-1.070 

Insurance Solvency and Company Regulation 

43 MoReg 3528 

20 CSR 200-1.110 

Insurance Solvency and Company Regulation 

43 MoReg 3529 

20 CSR 200-1.120 

Insurance Solvency and Company Regulation 

43 MoReg 3530R 

20 CSR 200-1.150 

Insurance Solvency and Company Regulation 

43 MoReg 3530R 

20 CSR 200-2.200 

Insurance Solvency and Company Regulation 

43 MoReg 3530R 

20 CSR 200-2.700 

Insurance Solvency and Company Regulation 

43 MoReg 3531R 

20 CSR 200-2.800 

Insurance Solvency and Company Regulation 

43 MoReg 3331 

20 CSR 200-3.010 

Insurance Solvency and Company Regulation 

43 MoReg 3532 

20 CSR 200-3.200 

Insurance Solvency and Company Regulation 

43 MoReg 3332 

20 CSR 200-4.010 

Insurance Solvency and Company Regulation 

43 MoReg 3533 

20 CSR 200-5.010 

Insurance Solvency and Company Regulation 

43 MoReg 3534 

20 CSR 200-6.100 

Insurance Solvency and Company Regulation 

44 MoReg 689 

20 CSR 200-6.400 

Insurance Solvency and Company Regulation 

44 MoReg 68DR 

20 CSR 200-6.500 

Insurance Solvency and Company Regulation 

44 MoReg 689R 

20 CSR 200-7.300 

Insurance Solvency and Company Regulation 

44 MoReg 690R 

20 CSR 200-9.500 

Insurance Solvency and Company Regulation 

44 MoReg 691) 

20 CSR 200-9.600 

Insurance Solvency and Company Regulation 

44 MoReg 69U 

20 CSR 200-9.700 

Insurance Solvency and Company Regulation 

44 MoReg 691 

20 CSR 200-9.800 

Insurance Solvency and Company Regulation 

44 MoReg 691 

20 CSR 200-10.100 

Insurance Solvency and Company Regulation 

44 MoReg 289 

20 CSR 200-10.300 

Insurance Solvency and Company Regulation 

44 MoReg 289 

20 CSR 200-10.400 

Insurance Solvency and Company Regulation 

44 MoReg 291) 

20 CSR 200-10.500 

Insurance Solvency and Company Regulation 

44 MoReg 290 

20 CSR 200-11.120 

Insurance Solvency and Company Regulation 

44 MoReg 29U 

20 CSR 200-11.130 

Insurance Solvency and Company Regulation 

44 MoReg 291 

20 CSR 200-11.150 

Insurance Solvency and Company Regulation 

44 MoReg 292 

20 CSR 200-11.300 

Insurance Solvency and Company Regulation 

44 MoReg 293R 

20 CSR 200-12.030 

Insurance Solvency and Company Regulation 

44 MoReg 293 

20 CSR 200-13.100 

Insurance Solvency and Company Regulation 

44 MoReg 294 

20 CSR 200-13.200 

Insurance Solvency and Company Regulation 

44 MoReg 294 

20 CSR 200-13.300 

Insurance Solvency and Company Regulation 

44 MoReg 293R 

20 CSR 200-14.200 

Insurance Solvency and Company Regulation 

44 MoReg 295 

20 CSR 200-14.300 

Insurance Solvency and Company Regulation 

44 MoReg 296R 

20 CSR 200-14.400 

Insurance Solvency and Company Regulation 

44 MoReg 296R 

20 CSR 200-16.020 

Insurance Solvency and Company Regulation 

44 MoReg 692R 

20 CSR 200-16.030 

Insurance Solvency and Company Regulation 

44 MoReg 692 R 

20 CSR 200-16.040 

Insurance Solvency and Company Regulation 

44 MoReg 692R 

2U CSR 2UU-16.U5U 

Insurance Solvency and Company Regulation 

44 MoReg 693R 

20 CSR 200-16.060 

Insurance Solvency and Company Regulation 

44 MoReg 693R 

20 CSR 200-16.070 

Insurance Solvency and Company Regulation 

44 MoReg 693R 

20 CSR 200-16.080 

Insurance Solvency and Company Regulation 

44 MoReg 694R 

20 CSR 200-16.090 

Insurance Solvency and Company Regulation 

44 MoReg 694R 

20 CSR 200-16.100 

Insurance Solvency and Company Regulation 

44 MoReg 694R 

20 CSR 200-16.110 

Insurance Solvency and Company Regulation 

44 MoReg 694R 

20 CSR 200-16.120 

Insurance Solvency and Company Regulation 

44 MoReg 695R 

20 CSR 200-16.130 

Insurance Solvency and Company Regulation 

44 MoReg 695R 

20 CSR 200-17.200 

Insurance Solvency and Company Regulation 

43 MoReg 3334 

20 CSR 200-18.010 

Insurance Solvency and Company Regulation 

44 MoReg 695 

20 CSR 200-18.020 

Insurance Solvency and Company Regulation 

44 MoReg 696 

20 CSR 200-18.110 

Insurance Solvency and Company Regulation 

44 MoReg 698 

20 CSR 200-18.120 

Insurance Solvency and Company Regulation 

44 MoReg 698 

20 CSR 200-19.020 

Insurance Solvency and Company Regulation 

43 MoReg 3534 

20 CSR 200-19.050 

Insurance Solvency and Company Regulation 

43 MoReg 3535 

20 CSR 200-19.060 

Insurance Solvency and Company Regulation 

44 MoReg 105 

20 CSR 200-20.010 

Insurance Solvency and Company Regulation 

44 MoReg 105 

20 CSR 200-20.030 

Insurance Solvency and Company Regulation 

44 MoReg 106 

20 CSR 200-20.050 

Insurance Solvency and Company Regulation 

44 MoReg 106 

20 CSR 400-2.040 

Lite, Annuities and Health 

44 MoReg /OUR 

20 CSR 400-6.100 

Lite, Annuities and Health 

43 MoReg 3535 

20 CSR 400-7.020 

Lite, Annuities and Health 

44 MoReg 10/R 

20 CSR 500-1.200 

Property and Casualty 

44 MoReg 296 

20 CSR 500-1.400 

Property and Casualty 

44 MoReg 297 

20 CSR 500-1.700 

Property and Casualty 

44 MoReg 297 

20 CSR 500-1.900 

Property and Casualty 

44 MoReg 298R 

20 CSR 500-2.500 

Property and Casualty 

44 MoReg 298 

20 CSR 500-4.300 

Property and Casualty 

44 MoReg 299 

20 CSR 500-5.100 

Property and Casualty 

44 MoReg 701R 

20 CSR 500-10.100 

Property and Casualty 

43 MoReg 3536R 

20 CSR 500-10.200 

Property and Casualty 

43 MoReg 3536R 

20 CSR 500-10.300 

Property and Casualty 

43 MoReg 3536R 

20 CSR 500-10.400 

Property and Casualty 

43 MoReg 353/R 

20 CSR 600-1.020 

Statistical Reporting 

44 MoReg 299 

20 CSR 600-2.100 

Statistical Reporting 

44 MoReg 30UR 

20 CSR 600-2.110 

Statistical Reporting 

44 MoReg 300 


20 CSR 600-2.120 Statistical Reporting 44 MoReg 301R 







Page 872 


Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

20 CSR 600-2.200 

Statistical Reporting 


44 MoReg 301 



20 CSR 600-2.300 

Statistical Reporting 


44 MoReg 303R 



20 CSR 600-2.400 

Statistical Reporting 


44 MoReg 303 



20 CSR 600-2.500 

Statistical Reporting 


44 MoReg 304R 



20 CSR 600-2.510 

Statistical Reporting 


44 MoReg 304 



20 CSR 600-2.600 

Statistical Reporting 


44 MoReg 304 



20 CSR 800-3.010 

Administrative Procedures under the 
Insurance Laws 


43 MoReg 3537 



20 CSR 800-3.020 

Administrative Procedures under the 
Insurance Laws 


43 MoReg 3537 




20 CSR 2030-2.040 Missouri Board tor Architects, Professional 


Engineers, Professional Land Surveyors, and 

Professional Landscape Architects _ 44 MoReg 701 


20 CSR 2040-1.021 

Office of Athletics 

This Issue 


20 CSR 2040-2.011 

Office ot Athletics 

43 MoReg 2772 43 MoReg 2878 

44 MoReg 442 

20 CSR 2040-2.021 

Office of Athletics 

43 MoReg 2772 43 MoReg 2883 

44 MoReg 442 

20 CSR 2040-3.011 

Office ot Athletics 

This Issue 


20 CSR 2040-3.030 

Office of Athletics 

This IssueR 


20 CSR 2040-4.015 

Office of Athletics 

This Issue 


20 CSR 2040-4.020 

Office of Athletics 

This Issue 


20 CSR 2040-4.030 

Office of Athletics 

This Issue 


20 CSR 2040-4.040 

Office of Athletics 

This Issue 


20 CSR 2040-4.050 

Office of Athletics 

This Issue 


20 CSR 2040-4.060 

Office of Athletics 

This IssueR 


20 CSR 2040-4.070 

Office of Athletics 

This Issue 


20 CSR 2040-4.080 

Office of Athletics 

This Issue 


20 CSR 2040-4.090 

Office ot Athletics 

This Issue 


20 CSR 2040-4.100 

Office of Athletics 

This Issue 


20 CSR 2040-5.010 

Office ot Athletics 

This IssueR 


20 CSR 2040-5.040 

Office of Athletics 

This Issue 



20 CSR 2040-5.060 Office of Athletics This Issue 


20 CSR 2040-5,070 Office of Athletics This Issue 

(Changed from 20 CSR 2040-8.140) _ 


20 CSR 2040-6.010 

Office of Athletics 

I'his Issue 

20 CSR 2040-7.010 

Office of Athletics 

This Issue 

20 CSR 2040-8.010 

Office of Athletics 

This IssueR 

20 CSR 2040-8.040 

Office ot Athletics 

This IssueR 

20 CSR 2040-8.050 

Office of Athletics 

This IssueR 

20 CSR 2040-8.060 

Office ot Athletics 

This IssueR 

20 CSR 2040-8.070 

Office of Athletics 

This IssueR 

20 CSR 2040-8.080 

Office of Athletics 

This IssueR 

20 CSR 2040-8.090 

Office of Athletics 

This IssueR 

20 CSR 2040-8.100 

Office of Athletics 

l'his IssueR 

20 CSR 2040-8.110 

Office of Athletics 

This IssueR 

20 CSR 2040-8.120 

Office of Athletics 

This IssueR 


20 CSR 2040-8.130 Office of Athletics This IssueR 


20 CSR 2040-8.140 Office of Athletics This Issue 

(Changed to 20 CSR 2040-5.070) __ 


20 CSR 2040-8.160 

Office ot Athletics 


This Issue 


20 CSR 2040-8.170 

Office of Athletics 


This Issue 


20 CSR 2040-8.180 

Office of Athletics 


This Issue 


20 CSR 2040-8.190 

Office of Athletics 


This IssueR 


20 CSR 2070-3.010 

State Board of Chiropractic Examiners 


43 MoReg 3538R 


20 CSR 2070-4.010 

State Board of Chiropractic Examiners 


43 MoReg 3271R 

This IssueR 




43 MoReg 3271 

This Issue 

20 CSR 2085-3.010 

Board ot Cosmetology and Barber Examiners 

43 MoReg 31)58 

43 MoReg 3108 

44 MoReg 716 

20 CSR 2095-1.020 

Committee for Professional Counselors 


43 MoReg 3111 

44 MoReg 716 

20 CSR 2110-1.010 

Missouri Dental Board 


43 MoReg 2886 

44 MoReg 442 

20 CSR 2110-1.020 

Missouri Dental Board 


43 MoReg 2886 

44 MoReg 443 

20 CSR 2110-2.001 

Missouri Dental Board 


44 MoReg 701 


20 CSR 2110-2.075 

Missouri Dental Board 


43 MoReg 3274 

This Issue 

20 CSR 2110-2.131 

Missouri Dental Board 


43 MoReg 2886 

44 MoReg 443 

20 CSR 2110-2.170 

Missouri Dental Board 


43 MoReg 2887 

44 MoReg 443 

20 CSR 2110-2.250 

Missouri Dental Board 

43 MoReg 3759 

43 MoReg 3811 


20 CSR 2110-2.260 

Missouri Dental Board 


44 MoReg 572R 


20 CSR 2110-4.020 

Missouri Dental Board 


43 MoReg 3277 

This Issue 

20 CSR 2117-1.010 

Office of Statewide Electrical Contractors 


44 MoReg 305 


20 CSR 2117-1.020 

Office of Statewide Electrical Contractors 


44 MoReg 308 


20 CSR 2117-1.030 

Office of Statewide Electrical Contractors 


44 MoReg 311 


20 CSR 2117-1.040 

Office of Statewide Electrical Contractors 


44 MoReg 314 


20 CSR 2117-1.050 

Office of Statewide Electrical Contractors 


44 MoReg 317 


20 CSR 2117-1.060 

Office of Statewide Electrical Contractors 


44 MoReg 320 


20 CSR 2117-1.070 

Office of Statewide Electrical Contractors 


44 MoReg 323 


20 CSR 2117-2.010 

Office of Statewide Electrical Contractors 


44 MoReg 328 


20 CSR 2117-2.020 

Office of Statewide Electrical Contractors 


44 MoReg 333 


20 CSR 2117-2.030 

Office of Statewide Electrical Contractors 


44 MoReg 337 


20 CSR 2117-2.040 

Office of Statewide Electrical Contractors 


44 MoReg 341 


20 CSR 2117-2.050 

Office of Statewide Electrical Contractors 


44 MoReg 345 


20 CSR 2117-2.060 

Office of Statewide Electrical Contractors 


44 MoReg 350 


20 CSR 2117-2.070 

Office of Statewide Electrical Contractors 


44 MoReg 353 


20 CSR 2117-2.080 

Office of Statewide Electrical Contractors 


44 MoReg 356 


20 CSR 2117-3.010 

Office of Statewide Electrical Contractors 


44 MoReg 361 


20 CSR 2117-3.020 

Office of Statewide Electrical Contractors 


44 MoReg 364 


20 CSR 2117-3.030 

Office of Statewide Electrical Contractors 


44 MoReg 367 


20 CSR 2117-4.010 

Office of Statewide Electrical Contractors 


44 MoReg 370 


20 CSR 2117-5.010 

Office of Statewide Electrical Contractors 


44 MoReg 373 



20 CSR 2150-3.080 State Board of Registration for the Healing 
Arts 


43 MoReg 2459 


43 MoReg 2469 


43 MoReg 3646 





March 1, 2019 

Voi. 44, No. 5 _Missouri Register_ Page 873 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

20 CSR 2150-3.170 

State Board of Registration for the Healing 
Arts 

43 MoReg 2459 

43 MoReg 2472 

43 MoReg 3646 



20 CSR 2150-3.300 

State Board of Registration for the Healing 
Arts 

43 MoReg 2460 

43 MoReg 2475 

43 MoReg 3647 

20 CSR 2150-5.025 

State Board of Registration for the Healing 
Arts 

43 MoReg 2773 

43 MoReg 2890 

44 MoReg 443 

20 CSR 2150-5.100 

State Board of Registration for the Healing 
Arts 

44 MoReg 27T 



20 CSR 2200-4.010 

State Board of Nursing 


This Issue 


20 CSR 2200-4.200 

State Board of Nursing 

44 MoReg 27T 



20 CSR 2200-7.010 

State Board of Nursing 


43 MoReg 3278 


20 CSR 2210-1.010 

State Board of Optometry 


43 MoReg 2892 

44 MoReg 443 

20 CSR 2210-1.020 

State Board of Optometry 


43 MoReg 2893 

44 MoReg 444 

20 CSR 2210-2.011 

State Board of Optometry 


43 MoReg 2893 

44 MoReg 444 

20 CSR 2210-2.020 

State Board of Optometry 


43 MoReg 3811 


20 CSR 2210-2.030 

State Board of Optometry 


43 MoReg 2893 

44 MoReg 444 

20 CSR 2210-2.060 

State Board of Optometry 


43 MoReg 2895 

44 MoReg 444 

20 CSR 2220-2.200 

State Board of Pharmacy 

43 MoReg 2776 

43 MoReg 2896 

44 MoReg 444 

20 CSR 2220-4.010 

State Board of Pharmacy 

43 MoReg 3058T 

44 MoReg 28 

44 MoReg 107 


20 CSR 2220-8.010 

State Board of Pharmacy 

44 MoReg 28 

44 MoReg 113 


20 CSR 2220-8.020 

State Board of Pharmacy 

44 MoReg 29 

44 MoReg 113 


20 CSR 2220-8.030 

State Board of Pharmacy 

44 MoReg 30 

44 MoReg 115 


20 CSR 2220-8.040 

State Board of Pharmacy 

44 MoReg 31 

44 MoReg 115 


20 CSR 2220-8.045 

State Board of Pharmacy 

44 MoReg 33 

44 MoReg 117 


20 CSR 2220-8.050 

State Board of Pharmacy 


44 MoReg 118 


20 CSR 2220-8.060 

State Board of Pharmacy 


44 MoReg 119 


20 CSR 2231-1.010 

State Board of Pharmacy 


44 MoReg 702 


20 CSR 2231-2.010 

State Board of Pharmacy 


44 MoReg 702 


20 CSR 2231-3.010 

Division of Professional Registration 

43 MoReg 3760 

43 MoReg 3814 


20 CSR 2232-1.040 

Missouri State Committee of Interpreters 

43 MoReg 3760 

43 MoReg 3817 


20 CSR 2245-1.010 

Real Estate Appraisers 

43 MoReg 2639 

43 MoReg 2664 

44 MoReg 223 

20 CSR 2245-3.005 

Real Estate Appraisers 

43 MoReg 2640 

43 MoReg 2664 

44 MoReg 224 

20 CSR 2245-3.010 

Real Estate Appraisers 

43 MoReg 2641 

43 MoReg 2665 

44 MoReg 224 

20 CSR 2245-5.020 

Real Estate Appraisers 


44 MoReg 119 


20 CSR 2245-6.040 

Real Estate Appraisers 

43 MoReg 2642 

43 MoReg 2665 

44 MoReg 224 

20 CSR 2245-8.010 

Real Estate Appraisers 

43 MoReg 2643 

43 MoReg 2666 

44 MoReg 224 

20 CSR 2245-8.030 

Real Estate Appraisers 

43 MoReg 2643 

43 MoReg 2666 

44 MoReg 224 

20 CSR 2270-1.011 

Missouri Veterinary Medical Board 


43 MoReg 2570 

43 MoReg 3867 

20 CSR 2270-1.031 

Missouri Veterinary Medical Board 


43 MoReg 2570 

43 MoReg 3867 

20 CSR 2270-2.031 

Missouri Veterinary Medical Board 


43 MoReg 2572 

43 MoReg 3867 

20 CSR 2270-2.041 

Missouri Veterinary Medical Board 


43 MoReg 2572 

43 MoReg 3867 

20 CSR 2270-3.020 

Missouri Veterinary Medical Board 


43 MoReg 2572 

43 MoReg 3867 

20 CSR 2270-4.011 

Missouri Veterinary Medical Board 


43 MoReg 2573 

43 MoReg 3867 

20 CSR 2270-4.021 

Missouri Veterinary Medical Board 


43 MoReg 2573 

43 MoReg 3868 

20 CSR 2270-4.031 

Missouri Veterinary Medical Board 


43 MoReg 2574 

43 MoReg 3868 

20 CSR 2270-4.041 

Missouri Veterinary Medical Board 


43 MoReg 2574 

43 MoReg 3868 

20 CSR 2270-4.042 

Missouri Veterinary Medical Board 


43 MoReg 2575 

43 MoReg 3868 

20 CSR 2270-6.011 

Missouri Veterinary Medical Board 


43 MoReg 2575 

43 MoReg 3868 


MISSOURI CONSOLIDATED HEALTH CARE PLAN 



22 CSR 10-1.030 

Health Care Plan 

43 MoReg 3354 

43 MoReg 3539 


22 CSR 10-2.010 

Health Care Plan 

43 MoReg 3356 

43 MoReg 3540 


22 CSR 10-2.020 

Health Care Plan 

43 MoReg 3357 

43 MoReg 3541 


22 CSR 10-2.030 

Health Care Plan 

43 MoReg 3362 

43 MoReg 3546 


22 CSR 10-2.045 

Health Care Plan 

43 MoReg 3365 

43 MoReg 3549 


22 CSR 10-2.046 

Health Care Plan 

43 MoReg 3366 

43 MoReg 3550 


22 CSR 10-2.047 

Health Care Plan 

43 MoReg 3368 

43 MoReg 3551 


22 CSR 10-2.051 

Health Care Plan 

43 MoReg 3370R 

43 MoReg 3553R 


22 CSR 10-2.052 

Health Care Plan 

43 MoReg 3370R 

43 MoReg 3553R 


22 CSR 10-2.053 

Health Care Plan 

43 MoReg 3370 

43 MoReg 3553 


22 CSR 10-2.055 

Health Care Plan 

43 MoReg 3372 

43 MoReg 3555 


22 CSR 10-2.060 

Health Care Plan 

43 MoReg 3381R 

43 MoReg 3564R 


22 CSR 10-2.061 

Health Care Plan 

43 MoReg 3382 

43 MoReg 3564 


22 CSR 10-2.075 

Health Care Plan 

43 MoReg 3383 

43 MoReg 3566 


22 CSR 10-2.080 

Health Care Plan 

43 MoReg 3384 

43 MoReg 3566 


22 CSR 10-2.088 

Health Care Plan 

43 MoReg 3384 

43 MoReg 3567 


22 CSR 10-2.089 

Health Care Plan 

43 MoReg 3385 

43 MoReg 3567 


22 CSR 10-2.090 

Health Care Plan 

43 MoReg 3386 

43 MoReg 3568 


22 CSR 10-2.110 

Health Care Plan 

43 MoReg 3389 

43 MoReg 3570 


22 CSR 10-2.140 

Health Care Plan 

43 MoReg 3390 

43 MoReg 3572 


22 CSR 10-3.010 

Health Care Plan 

43 MoReg 3391 

43 MoReg 3579 


22 CSR 10-3.020 

Health Care Plan 

43 MoReg 3392 

43 MoReg 3579 


22 CSR 10-3.045 

Health Care Plan 

43 MoReg 3395 

43 MoReg 3582 


22 CSR 10-3.053 

Health Care Plan 

43 MoReg 3396R 

43 MoReg 3583R 


22 CSR 10-3.055 

Health Care Plan 

43 MoReg 3397 

43 MoReg 3584 


22 CSR 10-3.056 

Health Care Plan 

43 MoReg 3397R 

43 MoReg 3584R 


22 CSR 10-3.057 

Health Care Plan 

43 MoReg 3398 

43 MoReg 3584 


22 CSR 10-3.058 

Health Care Plan 

43 MoReg 3407 

43 MoReg 3594 


22 CSR 10-3.059 

Health Care Plan 

43 MoReg 3409 

43 MoReg 3595 


22 CSR 10-3.060 

Health Care Plan 

43 MoReg 3410R 

43 MoReg 3597R 


22 CSR 10-3.061 

Health Care Plan 

43 MoReg 3411 

43 MoReg 3597 



Rule Changes Since Update 


March 1, 2019 
Vol. 44, No. 5 


Page 874 


Rule Number 

Agency 

Emergency 

Proposed 

Order 

In Addition 

22 CSR 10-3.080 

Health Care Plan 

43 MoReg 3412 

43 MoReg 3598 



22 CSR 10-3.090 

Health Care Plan 

43 MoReg 3413 

43 MoReg 3599 




*4 CSR 80—Economic Development Programs is changing to Division of Economic Development Programs. 



March 1, 2019 
Vol. 44, No. 5 


Emergency Rule Table 


Missouri 

Register 


Agency 


Publication Effective Expiration 


Office of Administration 

1 CSR 40-1.050 Procedures for Solicitation, Receipt of Bids, and Award 
and Administration of Contracts. 


.43 MoReg 2967 . . .Sept. 15, 2018 


.March 13, 2019 


Department of Economic Development 

Public Service Commission 

4 CSR 240-40.033 Safety Standards - Liquefied Natural Gas Facilities 


.44 MoReg 493 ... .Dec. 29, 2018 .June 26, 2019 


Department of Labor and Industrial Relations 

Division of Labor Standards 

8 CSR 30-3.010 Applicable Wage Rates for Public Works Projects .44 MoReg 5.Dec. 01, 2018.May 29, 2019 

8 CSR 30-3.030 Apprentices and Entry-Level Workers.44 MoReg 6.Dec. 01, 2018.May 29, 2019 

8 CSR 30-3.040 Classifications of Construction Work .44 MoReg 7.Dec. 01, 2018.May 29, 2019 

8 CSR 30-3.050 Posting of Prevailing Wage Rates.44 MoReg 7.Dec. 01, 2018.May 29, 2019 

8 CSR 30-3.060 Occupational Titles of Work Descriptions .44 MoReg 8.Dec. 01, 2018.May 29, 2019 


Department of Public Safety 

Division of Alcohol and Tobacco Control 

11 CSR 70-2.240 Advertising of Intoxicating Liquor 

Department of Revenue 

Director of Revenue 

12 CSR 10-41.010 Annual Adjusted Rate of Interest . 


.43 MoReg 3199 . . . .Oct. 20, 2018 . . . .April 17, 2019 


.43 MoReg 3347 .Jan. 1, 2019.June 29, 2019 


Department of Social Services 

Missouri Medicaid Audit and Compliance 

13 CSR 65-3.010 Participant Lock-In Program.This Issue . . . 

MO HealthNet Division 

13 CSR 70-10.016 Global Per Diem Adjustments to Nursing Facility 

and HIV Nursing Facility Reimbursement Rates .44 MoReg 494 

Elected Officials 

Secretary of State 

15 CSR 30-130.010 Definitions .44 MoReg 22 

15 CSR 30-130.020 Applications, Interim Operating Permits and Forms.44 MoReg 22 

15 CSR 30-130.030 Fees .44 MoReg 23 

15 CSR 30-130.040 Approval of Assurance Organizations .44 MoReg 23 

15 CSR 30-130.050 Use of Assurance Organizations by Applicant.44 MoReg 24 

15 CSR 30-130.060 Proof of Positive Working Capital, Bonds and Letters.44 MoReg 24 

15 CSR 30-130.070 Disciplinary Actions .44 MoReg 25 

15 CSR 30-130.080 Request for Hearing .44 MoReg 26 

15 CSR 30-130.090 Hearings.44 MoReg 26 

15 CSR 30-130.100 Appeals .44 MoReg 27 

15 CSR 30-200.025 Application and Payment Procedures for Appropriations 


.Jan. 30, 2019 


.Feb 28, 2019 


.Dec. 31, 2018.June 28, 2019 


Application and Payment Procedures for Appropriations 


Department of Health and Senior Services 

Office of the Director 


19 CSR 10-10.130 
19 CSR 20-60.010 
19 CSR 30-1.002 
19 CSR 30-1.023 
19 CSR 30-1.064 
19 CSR 30-1.078 
19 CSR 30-20.013 
19 CSR 30-60.020 

19 CSR 30-60.050 
19 CSR 30-61.025 
19 CSR 30-61.045 
19 CSR 30-61.055 
19 CSR 30-61.105 
19 CSR 30-61.210 
19 CSR 30-62.032 
19 CSR 30-62.042 


Missouri Adoptee Rights 


Schedules of Controlled Substances 


Incorporation of Medicare Conditions of Participation 
Application for Annual Fire Safety and Health and 
Sanitation Inspections and Inspection Procedures .... 

Staffing Requirements. 

Organization and Administration . 

Initial Licensing Information. 

License Renewal. 

The Day Care Provider and Other Day Care Personnel 

Records and Reports. 

Organization and Administration . 

Initial Licensing Information. 


. .44 MoReg 22 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 22 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 23 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 23 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 24 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 24 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 25 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 26 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 26 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .44 MoReg 27 . . 

. .Dec. 10, 2018 

.June 7, 2019 

. .Next Issue .... 

. . .Feb. 17, 2019 

. . . .Aug. 15, 2019 

. .43 MoReg 2967 . 

. .Sept. 20, 2018 

. . .March 18, 2019 

. .44 MoReg 496 . 

. .Dec. 30, 2018 . 

. . . .June 27, 2019 

. .43 MoReg 3347 

. .Nov. 04, 2018 

.May 2, 2019 

. .43 MoReg 2970 . 

. .Sept 27, 2018 

. . .March 25, 2019 

. .43 MoReg 2971 . 

. .Sept 27, 2018 

. . .March 25, 2019 

. .43 MoReg 2972 . 

. .Sept 27, 2018 

. . .March 25, 2019 

. .Next Issue .... 

. .Feb. 24, 2019 

. . . .Aug. 22, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 

. .Next Issue .... 

. .Feb. 25, 2019 

. . . .Aug. 23, 2019 


875 


























































































Page 876 


Emergency Rule Table 


March 1, 2019 
Vol. 44, No. 5 


Agency 


Publication 


Effective 


Expiration 


19 CSR 30-62.052 
19 CSR 30-62.102 
19 CSR 30-62.222 
19 CSR 30-63.010 
19 CSR 30-63.020 
19 CSR 30-63.030 
19 CSR 30-63.040 
19 CSR 30-63.050 
19 CSR 30-95.020 


License Renewal.Next Issue 

Personnel .Next Issue 

Records and Reports.Next Issue 

Definitions .Next Issue 

General Requirements.Next Issue 

Criminal Background Screening Cost .Next Issue 

Background Screening Findings.Next Issue 

Process for Appeal Required in Section 210.1080, RSMo . .Next Issue 

General Provisions .44 MoReg 


. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Feb. 

25, 

2019 

. . . .Aug. 

23, 

2019 

. . .Dec. 

24, 

2018 

.June 

21, 

2019 


Department of Insurance, Financial Institutions and Professional Registration 
Office of Athletics 


20 CSR 2040-2.011 Licenses.43 

20 CSR 2040-2.021 Permits .43 

Board of Cosmetology and Barber Examiners 

20 CSR 2085-3.010 Fees .43 

Missouri Dental Board 

20 CSR 2110-2.250 Prescribing Opioids.43 

State Board of Registration for the Healing Arts 

20 CSR 2150-5.025 Administration of Vaccines Per Protocol .43 

State Board of Pharmacy 

20 CSR 2220-4.010 General Fees .44 

20 CSR 2220-8.010 Definitions .44 

20 CSR 2220-8.020 Licensing Requirements.44 

20 CSR 2220-8.030 Nonresident Third-Party Logistics Providers/Drug 

Outsourcer Facilities.44 

20 CSR 2220-8.040 Standards of Operation (Drug Outsourcers) .44 

20 CSR 2220-8.045 Standards of Operation (Third-Party Logistics Providers) . . .44 

Division of Professional Registration 

20 CSR 2231-3.010 Fee Waiver for Military Families and 

Low-Income Individuals.43 

Missouri State Committee of Interpreters 

20 CSR 2232-1.040 Fees .43 

Missouri Consolidated Health Care Plan 

22 CSR 10-1.030 Board of Trustees Election Process .43 

22 CSR 10-2.010 Definitions .43 

22 CSR 10-2.020 General Membership Provisions .43 

22 CSR 10-2.030 Contributions .43 

22 CSR 10-2.045 Plan Utilization Review Policy .43 

22 CSR 10-2.046 PPO 750 Plan Benefit Provisions and Covered Charges .43 

22 CSR 10-2.047 PPO 1250 Plan Benefit Provisions and Covered Charges.43 

22 CSR 10-2.051 PPO 300 Plan Benefit Provisions and Covered Charges .43 

22 CSR 10-2.052 PPO 600 Plan Benefit Provisions and Covered Charges .43 

22 CSR 10-2.053 Health Savings Account Plan Benefit Provisions 

and Covered Charges.43 

22 CSR 10-2.055 Medical Plan Benefit Provisions and Covered Charges.43 

22 CSR 10-2.060 PPO 300 Plan, PPO 600 Plan, and Health 

Savings Account Plan Limitations .43 

22 CSR 10-2.061 Plan Limitations.43 

22 CSR 10-2.075 Review and Appeals Procedure.43 

22 CSR 10-2.080 Miscellaneous Provisions.43 

22 CSR 10-2.088 Medicare Advantage Plan.43 

22 CSR 10-2.089 Pharmacy Employer Group Waiver Plan for 

Medicare Primary Members.43 

22 CSR 10-2.090 Pharmacy Benefit Summary.43 

22 CSR 10-2.110 General Foster Parent Membership Provisions .43 

22 CSR 10-2.140 Strive for Wellness® Health Center Provisions, 

Charges, and Services.43 

22 CSR 10-3.010 Definitions .43 

22 CSR 10-3.020 General Membership Provisions .43 

22 CSR 10-3.045 Plan Utilization Review Policy .43 

22 CSR 10-3.053 PPO 1000 Plan Benefit Provisions and Covered Charges.43 

22 CSR 10-3.055 Health Savings Account Plan Benefit Provisions 

and Covered Charges.43 

22 CSR 10-3.056 PPO 600 Plan Benefit Provisions and Covered Charges .43 


MoReg 2772 . . . .Sept. 7, 2018 . . . .March 5, 2019 

MoReg 2772 . . . .Sept. 7, 2018 . . . .March 5, 2019 

MoReg 3058 . . . .Oct. 1, 2018 . . .March 29, 2019 

MoReg 3759 . . .Nov. 17, 2018.May 15, 2019 

MoReg 2773 . . .Sept. 30, 2018 . . .March 28, 2019 

MoReg 28.Dec. 8, 2018 .June 5, 2019 

MoReg 28.Dec. 8, 2018 .June 5, 2019 

MoReg 29.Dec. 8, 2018 .June 5, 2019 

MoReg 30.Dec. 8, 2018 .June 5, 2019 

MoReg 31.Dec. 8, 2018 .June 5, 2019 

MoReg 33.Dec. 8, 2018 .June 5, 2019 

MoReg 3760 . . .Nov. 17, 2018.May 15, 2019 

MoReg 3760 . . .Nov. 17, 2018.May 15, 2019 

MoReg 3354 .Jan. 1, 2019.June 29, 2019 

MoReg 3356 .Jan. 1, 2019.June 29, 2019 

MoReg 3357 .Jan. 1, 2019.June 29, 2019 

MoReg 3362 .Jan. 1, 2019.June 29, 2019 

MoReg 3365 .Jan. 1, 2019.June 29, 2019 

MoReg 3366 .Jan. 1, 2019.June 29, 2019 

MoReg 3368 .Jan. 1, 2019.June 29, 2019 

MoReg 3370 .Jan. 1, 2019.June 29, 2019 

MoReg 3370 .Jan. 1, 2019.June 29, 2019 

MoReg 3370 .Jan. 1, 2019.June 29, 2019 

MoReg 3372 .Jan. 1, 2019.June 29, 2019 

MoReg 3381 .Jan. 1, 2019.June 29, 2019 

MoReg 3382 .Jan. 1, 2019.June 29, 2019 

MoReg 3383 .Jan. 1, 2019.June 29, 2019 

MoReg 3384 .Jan. 1, 2019.June 29, 2019 

MoReg 3384 .Jan. 1, 2019.June 29, 2019 

MoReg 3385 .Jan. 1, 2019.June 29, 2019 

MoReg 3386 .Jan. 1, 2019.June 29, 2019 

MoReg 3389 .Jan. 1, 2019.June 29, 2019 

MoReg 3390 .Jan. 1, 2019.June 29, 2019 

MoReg 3391 .Jan. 1, 2019.June 29, 2019 

MoReg 3392 .Jan. 1, 2019.June 29, 2019 

MoReg 3395 .Jan. 1, 2019.June 29, 2019 

MoReg 3396 .Jan. 1, 2019.June 29, 2019 

MoReg 3397 .Jan. 1, 2019.June 29, 2019 

MoReg 3397 .Jan. 1, 2019.June 29, 2019 

































































































































March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 877 


Agency 

22 CSR 10-3.057 Medical Plan Benefit Provisions and Covered Charges . 
22 CSR 10-3.058 PPO 750 Plan Benefit Provisions and Covered Charges 
22 CSR 10-3.059 PPO 1250 Plan Benefit Provisions and Covered Charges 
22 CSR 10-3.060 PPO 600 Plan, PPO 1000 Plan, and Health Savings 

Account Plan Limitations. 

22 CSR 10-3.061 Plan Limitations. 

22 CSR 10-3.080 Miscellaneous Provisions. 

22 CSR 10-3.090 Pharmacy Benefit Summary. 


Publication 

Effective 

Expiration 

. .43 MoReg 3398 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3407 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3409 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3410 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3411 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3412 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

. .43 MoReg 3413 . . 

. . .Jan. 1, 2019 . . 

. . .June 29, 2019 

























Missouri 

Register 

Executive Orders 

March 1, 2019 
Vol. 44, No. 5 

Executive 

Orders 

Subject Matter 

2019 

Filed Date 

Publication 

Proclamation 

Governor reduces line items in the budget. 

Jan. 28, 2019 

This Issue 

19-03 

Transfers the Division of Workforce Development to the Department 
of Higher Education 

Jan. 17, 2019 

This Issue 

19-02 

Transfers the Office of Public Counsel and Public Service Commission to the 
Department of Insurance, Financial Institutions and Professional Registration 

Jan. 17, 2019 

This Issue 

19-01 

Transfers the Division of Energy to the Department of Natural Resources 

Jan. 17, 2019 

This Issue 


2018 



18-12 

Establishes the Missouri 2020 Complete Count Committee 

Dec. 18, 2018 

44 MoReg 498 

18-11 

Closes state offices December 24, 2018. 

Nov. 30, 2018 

43 MoReg 3761 

18-10 

Establishes that each executive branch adhere to the code of conduct 
regarding gifts form lobbyist 

Nov. 20, 2018 

44 MoReg 36 

18-09 

Closes state offices November 23, 2018. 

Nov. 1, 2018 

43 MoReg 3204 

18-08 

Establishes the Missouri Justice Reinvestment Executive Oversight Council. 

Oct. 25, 2018 

43 MoReg 3472 

Proclamation 

Governor temporarily reduces line items in the budget. 

Oct. 31, 2018 

43 MoReg 3416 

18-07 

Establishes the Bicentennial Commission. 

Oct. 12, 2018 

43 MoReg 3202 

Proclamation 

Calls upon the Senators and Representatives to enact legislation 
requiring the Department of Elementary and Secondary Education to 
establish a statewide program to be known as the “STEM Career Awareness 
Program.” 

Sept. 4, 2018 

43 MoReg 2780 

18-06 

Designates those members of the governor’s staff who have supervisory 
authority over each department, division, or agency of state government. 

Aug. 21, 2018 

43 MoReg 2778 

18-05 

Declares a drought alert for 47 Missouri counties and orders the director of 




the Department of Natural Resources to activate and designate a chairperson 

for the Drought Assessment Committee _ July 18, 2018 _ 43 MoReg 2539 


18-04 

Extends the deadline from Section 3d of Executive Order 17-03 through 
September 30,2018. 

June 29, 2018 

43 MoReg 1996 

18-03 

Reauthorizes and restructures the Homeland Security Advisory Council. 

April 25, 2018 

43 MoReg 1123 

18-02 

Declares a State of Emergency and activates the state militia in response to 
severe weather that began on Feb. 23. 

Feb. 24, 2018 

43 MoReg 664 

Proclamation 

Governor notifies the General Assembly that he is reducing appropriation 
lines in the fiscal year 2018 budget. 

Feb. 14, 2018 

43 MoReg 519 

18-01 

Rescinds Executive Order 07-21. 

Jan. 4, 2018 

43 MoReg 251 


878 




March 1, 2019 Index Missouri 

Vol. 44, No. 5 _ Register 


The rule number and the MoReg publication date follow each entry in this index. 


ADMINISTRATION, OFFICE OF 

appeals; 1 CSR 20-4.010; 10/1/18, 1/15/19 
authority delegations; 1 CSR 40-1.040; 11/15/18, 3/1/19 
broad classification bands; 1 CSR 20-2.015; 10/1/18, 1/15/19 
certification and appointment; 1 CSR 20-3.030; 10/1/18, 1/15/19 
classification plan, the; 1 CSR 20-2.010; 10/1/18, 1/15/19 
convention and sports complex; 1 CSR 10-16.010; 11/15/18 
county travel regulations, mileage allowance; 1 CSR 10-11.020; 
11/15/18 

covered service; 1 CSR 20-1.045; 10/1/18, 1/15/19 
definition of terms; 1 CSR 20-5.015; 2/15/19 
definitions; 

1 CSR 20-1.020; 10/1/18, 1/15/19 
1 CSR 40-1.030; 11/15/18, 3/1/19 
direct deposit of payroll requirements; 1 CSR 10-8.010; 11/15/18 
examinations; 1 CSR 20-3.010; 10/1/18, 1/15/19 
facilities management, division of 

definitions; 1 CSR 35-2.020; 1/2/19 
lease acquisition; 1 CSR 35-2.040; 1/2/19 
management of leased real property; 1 CSR 35-2.050; 1/2/19 
procurement and management of leased real property; 1 CSR 
35-2.030; 1/2/19 

rule objectives; 1 CSR 35-2.010; 1/2/19 
facilities management, design and construction, division of 
assessment program planning; 1 CSR 30-2.030; 10/1/18, 
3/1/19 

budget form completion and submission; 1 CSR 30-2.050; 
10/1/18, 3/1/19 

budget preparation; 1 CSR 30-2.040; 10/1/18, 3/1/19 
definitions; 1 CSR 30-2.020; 10/1/18, 3/1/19 
determination of contractor responsibility; 1 CSR 30-3.060; 
1/2/19 

facility management; 1 CSR 30-4.020; 1/2/19 
facility safety and security; 1 CSR 30-4.040; 1/2/19 
maintenance program standards and procedures; 1 CSR 30- 
4.030; 1/2/19 

objectives and definitions; 1 CSR 30-4.010; 10/1/18, 3/1/19 
procurement of construction and management services; 1 CSR 
30-3.025; 1/2/19 

project definition and fund allocation; 1 CSR 30-3.020; 
10/1/18, 3/1/19 

project selection/bidding methods; 1 CSR 30-3.035; 10/1/18, 
3/1/19 

rule objectives and definitions; 1 CSR 30-3.010; 10/1/18, 
3/1/19 

general provisions and prohibitions; 1 CSR 20-3.080; 

10/1/18, 1/15/19 

general organization; 1 CSR 20-1.010; 10/1/18, 1/15/19 
grievance procedures; 1 CSR 20-4.020; 10/1/18, 1/15/19 
hours of work and holidays; 1 CSR 20-5.010; 2/15/19 
leaves of absence; 1 CSR 20-5.020; 2/15/19 
missouri accountability portal; 1 CSR 10-7.010; 11/15/18 
missouri lottery payment of prizes; 1 CSR 10-13.010; 11/15/18 
organization; 1 CSR 40-1.010; 11/15/18, 3/1/19 
pay plan, the; 1 CSR 20-2.020; 10/1/18, 1/15/19 
personnel rules; 1 CSR 20-1.030; 10/1/18, 1/15/19 
preapproval of claims/accounts and direct deposit:definitions/exam 
pies; 1 CSR 10-3.010; 11/15/18, 1/15/19 
probationary period; 1 CSR 20-3.040; 10/1/18 
procedures for solicitation, receipt of bids, and award and adminis 
tration of contracts; 1 CSR 40-1.050; 11/15/18, 3/1/19 
project contracts and work completion; 1 CSR 30-3.040; 11/15/18 
project design; 1 CSR 30-3.030; 11/15/18, 1/15/19 
project payments, acceptance and occupancy; 1 CSR 30-3.050; 
11/15/18 

public use of state facilities; 1 CSR 35-1.050; 11/15/18 
records and reports; 1 CSR 20-1.050; 10/1/18, 1/15/19 
registers; 1 CSR 20-3.020; 10/1/18, 1/15/19 
requirements for direct deposit of vendor payments; 1 CSR 10- 
9.010; 11/15/18 

retirement policy; 1 CSR 10-18.010; 10/15/18, 1/15/19 
separation, suspension, and demotion; 1 CSR 20-3.070; 10/1/18, 
1/15/19 

service reports; 1 CSR 20-3.050; 10/1/18, 1/15/19 


shareleave; 1 CSR 20-5.025; 2/15/19 

shareleave for foster and adoptive placement and care; 1 CSR 10- 
10.010; 2/15/19 

state official’s salary compensation schedule; 1 CSR 10; 12/3/18 
state of missouri travel regulations; 1 CSR 10-11.010; 11/15/18 
state of missouri vehicular travel regulations; 1 CSR 10-11.030; 
11/15/18 

state of missouri vendor payroll deductions; 1 CSR 10-4.010; 
11/15/18 

traffic regulations for state property 1 CSR 10-5.010; 11/15/18 
unclassified service; 1 CSR 20-1.040; 10/1/18, 1/15/19 
waiver of procedures contained in chapter 34, RSMo, related to cost 
and pricing; 1 CSR 40-1.090; 11/15/18, 3/1/19 

AGRICULTURE, DEPARTMENT OF 

administrative services 

nonfarming purposes interpreted; 2 CSR 20-3.030; 7/2/18 
procedure for filing; 2 CSR 20-3.040; 7/2/18 
who shall register; 2 CSR 20-3.010; 7/2/18 
plant industries 

definitions; 2 CSR 70-17.010; 1/2/19 

industrial hemp pilot program grower and handler registration 
agreement; 2 CSR 70-17.040; 1/2/19 

industrial hemp pilot program registration application (grower 
and handler application requirements, selection process, 
application period and fees); 2 CSR 70-17.020; 1/2/19 
industrial hemp plant monitoring system (records, reports, 
and data maintained for cultivating, sampling, certificates 
of analysis, storing, processing, destruction, and sale or 

distribution of industrial hemp); 2 CSR 70-17.110; 1/2/19 
industrial hemp registration fees (renewal of registrations) and 
other fees; 2 CSR 70-17.070; 1/2/19 
inspection of site, crop, and sampling requirements for labo 
ratory analysis (responsibilities of registered grower and 
handler); 2 CSR 70-17.090; 1/2/19 
modification of grower and handler applications and fees; 2 
CSR 70-17.060; 1/2/19 

revocation of registration; 2 CSR 70-17.120; 1/2/19 
sampling requirements; 2 CSR 70-17.100; 1/2/19 
site access for MDA and law enforcement inspection and 
sampling; 2 CSR 70-17.080; 1/2/19 
state and federal criminal history background check (when 
required, process, and fees); 1/2/19 
stipulations for registered growers and handlers; 2 CSR 70- 
17.050; 1/2/19 

AIR CONSERVATION COMMISSION 

asbestos projects-certification, accreditation and business exemp 
tion requirements; 10 CSR 10-6.250; 6/15/18, 1/2/19 
asbestos projects registration, abatement, notification, inspection, 
demolition, and performance requirements; 10 CSR 10-6.241; 
6/15/18, 1/2/19 

commercial and industrial solid waste incinerators; 10 CSR 10- 
6.161; 6/15/18, 1/2/19 

compliance monitoring usage; 10 CSR 10-6.280; 6/15/18, 1/2/19 
conformity of general federal actions to state implementation plans; 

10 CSR 10-6.300; 6/15/18, 1/2/19 
construction permits by rule; 10 CSR 10-6.062; 8/1/18, 2/1/19 
construction permits required; 10 CSR 10-6.060; 8/1/18, 2/1/19 
control of emissions during petroleum liquid storage, loading, and 
transfer; 10 CSR 10-5.220; 8/1/18, 2/1/19 
control of emissions from aerospace manufacture and rework facil 
ities 

10 CSR 10-2.205; 8/1/18, 2/1/19 
10 CSR 10-5.295; 8/1/18, 2/1/19 
control of emissions from batch process operations; 10 CSR 10- 
5.540; 6/15/18, 1/2/19 

control of emissions from industrial surface coating operations 
10 CSR 10-2.230; 8/1/18, 2/1/19 
10 CSR 10-5.330; 8/1/18, 2/1/19 
control of emissions from the manufacturing of paints, varnishes, 
lacquers, enamels, and other allied surface coating products; 

10 CSR 10-2.300; 6/15/18, 1/2/19 


879 





Page 880 


Index 


March 1, 2019 
Vol. 44. No. 5 


control of emissions from volatile organic liquid storage; 10 CSR 
10-5.500; 6/15/18, 1/2/19 

control of NO emissions from large stationary internal combustion 
engines; 10 C§R 10-6.390; 8/1/18, 2/1/19 
control of NO emissions from portland cement kilns; 10 CSR 10- 
6.380; 6A5/18, 1/2/19 

control of petroleum liquid storage, loading and transfer; 10 CSR 
10-2.260; 6/15/18, 1/2/19 

control of sulfur dioxide emissions; 10 CSR 10-6.261; 8/1/18, 
2/1/19 

control of volatile organic compound emissions from wood furni¬ 
ture manufacturing operations; 10 CSR 10-5.530; 6/15/18, 
1/2/19 

cross-state air pollution rule annual SCk, group 1 trading program; 
10 CSR 10-6.372; 8/1/18, 2/1/19 

cross-state air pollution rule NO annual trading program; 10 CSR 
10-6.376; 8/1/18, 2/1/19 

cross-state air pollution rule NO ozone season group 2 trading 
program; 10 CSR 10-6.374; 8/1/18, 2/1/19 
emission limitations and emissions trading of oxides of nitrogen; 

10 CSR 10-6.350; 2/15/18, 8/1/18 
emission standards for hazardous air pollutants; 10 CSR 10-6.080; 
6/15/18, 1/2/19 

maximum achievable control technology regulations; 10 CSR 10- 
6.075; 6/15/18, 1/2/19 

new source performance regulations; 10 CSR 10-6.070; 6/15/18, 
1/2/19 

open burning requirements; 10 CSR 10-6.045; 8/1/18, 2/1/19 
operating permits; 10 CSR 10-6.065; 8/1/18, 2/1/19 
restriction of emission of visible air contaminants; 10 CSR 10- 
6.220; 8/1/18, 2/1/19 

restriction of emissions from batch-type charcoal kilns; 10 CSR 
10-6.330; 8/1/18, 2/1/19 

restriction of emissions of lead from specific lead smelter-refinery 
installations; 10 CSR 10-6.120; 6/15/18, 1/2/19 
restriction of particulate matter to the ambient air beyond the 
premises of origin; 10 CSR 10-6.170; 8/1/18, 2/1/19 

ALCOHOL AND TOBACCO CONTROL, DIVISION OF 

advertising of intoxicating liquor; 11 CSR 70-2.240; 11/15/18, 
3/1/19 

ARCHITECTS, PROFESSIONAL ENGINEERS, PROFES¬ 
SIONAL LAND SURVEYORS, AND PROFESSIONAL LAND¬ 
SCAPE ARCHITECTS, MISSOURI BOARD FOR 

evaluation criteria for building design; 20 CSR 2030-2.040; 

2/15/19 

ATHLETICS, OFFICE OF 

announcers; 20 CSR 2040-4.060; 3/1/19 

approval of nationally recognized amateur sanctioning bodies; 20 
CSR 2040-3.030; 3/1/19 

attire and equipment; 20 CSR 2040-8.160; 3/1/19 
contestants; 

20 CSR 2040-4.090; 3/1/19 
20 CSR 2040-8.050; 3/1/19 
definitions; 

20 CSR 2040-1.021; 3/1/19 
20 CSR 2040-8.010; 3/1/19 

disciplinary and appeals procedures; 20 CSR 2040-7.010; 3/1/19 
facility and equipment requirements; 

20 CSR 2040-6.010; 3/1/19 
20 CSR 2040-8.190; 3/1/19 
fouls; 20 CSR 2040-[8.140] 5.070; 3/1/19 
inspectors; 

20 CSR 2040-4.100; 3/1/19 
20 CSR 2040-5.010; 3/1/19 
20 CSR 2040-8.060; 3/1/19 
judges; 

20 CSR 2040-4.080; 3/1/19 
20 CSR 2040-8.070; 3/1/19 
licenses; 20 CSR 2040-2.011; 10/1/18, 1/15/19 
matchmakers; 

20 CSR 2040-4.020; 3/1/19 
20 CSR 2040-8.080; 3/1/19 
permits; 20 CSR 2040-2.020; 10/1/18, 1/15/19 
physicians; 

20 CSR 2040-4.040; 3/1/19 
20 CSR 2040-8.090; 3/1/19 


promoters; 

20 CSR 2040-4.015; 3/1/19 
20 CSR 2040-8.100; 3/1/19 

referees 

20 CSR 2040-4.030; 3/1/19 
20 CSR 2040-8.110; 3/1/19 
rules for bouts/contests; 20 CSR 2040-8.180; 3/1/19 
rules for professional boxing; 20 CSR 2040-5.040; 3/1/19 
rules for professional and amateur kickboxing and professional 
full-contact karate; 20 CSR 2040-5.060; 3/1/19 

sppnrwi^* 

20 CSR 2040-4.070; 3/1/19 
20 CSR 2040-8.120; 3/1/19 
tickets and taxes; 

20 CSR 2040-3.011; 3/1/19 
20 CSR 2040-8.040; 3/1/19 
timekeepers; 

20 CSR 2040-4.050; 3/1/19 
20 CSR 2040-8.130; 3/1/19 
weigh-ins; 20 CSR 2040-8.170; 3/1/19 

CERTIFICATE OF NEED PROGRAM 

application review schedule; 19 CSR 60-50; 2/1/19, 3/1/19 

CHILDREN’S DIVISION 

adoption services; 

13 CSR 35-73.080; 10/15/18 
13 CSR 40-73.080; 10/15/18 
aftercare supervision; 13 CSR 110-3.030; 12/3/18 
basis for licensure and licensing procedures; 

13 CSR 35-73.012; 10/1/18, 3/1/19 
13 CSR 40-73.012; 10/1/18, 3/1/19 
definitions; 

13 CSR 35-73.010; 10/15/18 
13 CSR 40-73.010; 10/15/18 

developmental disability care provider tax credit; 13 CSR 35- 
100.030; 12/3/18 

children’s income disbursement system (KIDS); 13 CSR 35- 
34.080; 12/3/18 foster care services; 

13 CSR 35-73.075; 10/15/18 
13 CSR 40-73.075; 10/15/18 
minimum qualifications of foster parent(s) 

13 CSR 35-60.030; 11/1/18 
operational requirements; 

13 CSR 35-73.040; 10/15/18 
13 CSR 40-73.040; 10/15/18 
personnel practices and personnel; 

13 CSR 35-73.030; 10/1/18, 3/1/19 
13 CSR 40-73.030; 10/1/18, 3/1/19 
placement of children in foster family homes; 

13 CSR 35-73.070; 10/15/18 
13 CSR 40-73.070; 10/15/18 

pregnancy resource center tax credit; 13 CSR 35-100.020; 9/4/18 
protection and care of the child; 

13 CSR 35-73.050; 10/15/18 
13 CSR 40-73.050; 10/15/18 
recommendation for foster home licensing; 

13 CSR 35-73.060; 10/15/18 
13 CSR 40-73.060; 10/15/18 

residential treatment agency tax credit; 13 CSR 35-100.010; 9/4/18 
staff qualifications and requirements; 

13 CSR 35-73.035; 10/15/18 
13 CSR 40-73.035; 10/15/18 

CHIROPRACTIC EXAMINERS, STATE BOARD OF 

chiropractic insurance consultant; 20 CSR 2070-4.010; 11/15/18, 
3/1/19 

preceptorship; 20 CSR 2070-3.010; 12/3/18 

CLEAN WATER COMMISSION 

alternative sewer systems; 10 CSR 20-8.125; 7/16/18, 1/2/19 
biological treatment; 10 CSR 20-8.180; 7/16/18, 1/2/19 
certification of concentrated animal feeding operation waste man¬ 
agement system operators; 10 CSR 20-14.020; 7/16/18, 
1/2/19 

certification of wastewater operators; 10 CSR 20-9.030; 7/16/18, 
1/2/19 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 881 


classification of concentrated animal feeding operation waste man¬ 
agement systems; 10 CSR 20-14.010; 7/16/18, 1/2/19 
classification of wastewater treatment systems; 10 CSR 20-9.020; 
7/16/18, 1/2/19 

class III mineral resources injection/production well operating per¬ 
mits; 10 CSR 20-6.090; 7/16/18, 1/2/19 
clean water state revolving fund general assistance regulation; 10 
CSR 20-4.040; 7/16/18, 1/2/19 
concentrated animal feeding operations; 10 CSR 60-6.300; 
7/16/18, 1/2/19 

construction and loan priority system; 10 CSR 20-4.010; 7/16/18, 
1/2/19 

construction and operating permits; 10 CSR 20-6.010; 7/16/18, 
1/2/19 

design of animal waste management systems; 10 CSR 20-8.300; 
7/16/18, 1/2/19 

design of small sewage works; 10 CSR 20-8.020; 7/16/18, 1/2/19 
design requirements for agrichemical facilities; 10 CSR 20-8.500; 
7/16/18, 1/2/19 

direct loan program; 10 CSR 20-4.041; 7/16/18, 1/2/19 
disinfection; 10 CSR 20-8.190; 7/6/18, 1/2/19 
effluent regulations; 10 CSR 20-7.015; 7/16/18, 1/2/19 
engineering-reports, plans, and specifications; 10 CSR 20-8.110; 
7/16/18, 1/2/19 

environmental review; 10 CSR 20-4.050; 7/16/18, 1/2/19 
fees; 10 CSR 20-6.011; 7/16/18, 1/2/19 

grants for sewer districts and certain small municipal sewer sys¬ 
tems; 10 CSR 20-4.030; 7/16/18, 1/2/19 
gravity sewers; 10 CSR 20-8.120; 7/16/18, 1/2/19 
groundwater heat pump operating permits; 10 CSR 20-6.070; 
7/16/18, 1/2/19 

land treatment; 10 CSR 20-8.220; 7/16/18, 1/2/19 
leveraged loan program; 10 CSR 20-4.042; 7/16/18, 1/2/19 
no-discharge permits; 10 CSR 20-6.015; 7/16/18, 1/2/19 
preliminary treatment; 10 CSR 20-8.150; 7/16/18, 1/2/19 
public participation, hearings and notice to governmental agencies; 

10 CSR 20-6.020; 7/16/18, 1/2/19 
pumping stations; 10 CSR 20-8.130; 7/16/18, 1/2/19 
settling; 10 CSR 20-8.160; 7/16/18, 1/2/19 
solids handling and disposal; 10 CSR 20-8.170; 7/16/18, 1/2/19 
storm water grant and loan program; 10 CSR 20-4.061; 7/16/18, 
1/2/19 

storm water regulations; 10 CSR 20-6.200; 7/16/18, 1/2/19 
supplemental treatment; 10 CSR 20-8.210; 7/16/18, 1/2/19 
wastewater treatment facilities; 10 CSR 20-8.140; 7/16/18, 1/2/19 
wastewater treatment lagoons and wastewater irrigation alternat 
ives;10 CSR 20-8.200; 7/16/18, 1/2/19 
wastewater treatment systems operation scope monitoring; 10 CSR 
20-9.010; 7/16/18, 1/2/19 

CONSERVATION, DEPARTMENT OF 

camping; 3 CSR 10-11.140; 10/1/18, 1/15/19 
chronic wasting disease; management zone; 3 CSR 10-4.200; 
10/1/18, 1/15/19 

closings; 3 CSR 10-11.115; 10/1/18, 1/15/19 

decoys and blinds; 3 CSR 10-11.155; 10/1/18, 1/15/19 

deer 

firearms hunting season; 3 CSR 10-7.433; 10/1/18, 1/15/19 
landowner privileges; 3 CSR 10-7.434; 10/1/18, 1/15/19 
deer hunting seasons:general provisions; 3 CSR 10-7.431; 10/1/18, 
1/15/19 

deer management assistance program; 3 CSR 10-7.600; 10/1/18, 
1/15/19 

definitions; 3 CSR 10-20.805; 10/1/18, 1/15/19 
dove hunting; 3 CSR 10-11.185; 10/1/18, 1/15/19 
field trials; 3 CSR 10-11.125; 10/1/18, 1/15/19 
fishing, daily and possession limits; 3 CSR 10-11.210; 10/1/18, 
1/15/19 

fishing, general provisions and seasons; 3 CSR 10-11.200; 

10/1/18, 1/15/19 

fishing, length limits; 3 CSR 10-11.215; 10/1/18, 1/15/19 
fishing, methods and hours; 3 CSR 10-11.205; 10/1/18, 1/15/19 
general provisions; 3 CSR 10-7.405; 10/1/18, 1/15/19 
hunting, general provisions and seasons; 3 CSR 10-11.180; 

10/1/18, 1/15/19 

hunting methods; 3 CSR 10-7.410; 10/1/18, 1/15/19 
organization and methods of operation; 3 CSR 10-1.010; 10/1/18, 
1/15/19 

nonresident firearms deer management assistance program permit; 
3 CSR 10-5.605; 10/1/18, 1/15/19 


permits required; exceptions; 3 CSR 10-5.205; 10/1/18, 1/15/19 
permits and privileges: how obtained; not transferable; 3 CSR 10- 
5.215; 10/1/18, 1/15/19 

pets and hunting dogs; 3 CSR 10-11.120; 10/1/18, 1/15/19 
quail hunting; 3 CSR 10-11.184; 10/1/18, 1/15/19 
resident and nonresident fur dealers: reports, requirements; 3 
CSR 10-10.715; 10/1/18, 1/15/19 
resident firearms deer management assistance program permit; 3 
CSR 10-5.600; 10/1/18, 1/15/19 
restricted zones; 3 CSR 10-6.415; 10/1/18, 1/15/19 
sales and possession of wildlife parts and mounted specimens; 3 
CSR 10-10.768; 10/1/18, 1/15/19 
tree stands; 3 CSR 10-11.145; 10/1/18, 1/15/19 
turkey: seasons, methods, limits; 3 CSR 10-7.455; 10/1/18, 
1/15/19 

use of boats and motors; 3 CSR 10-11.160; 10/1/18, 1/15/19 
vehicles, bicycles, horses, and horseback riding; 3 CSR 10-11.130; 
10/1/18, 1/15/19 

waterfowl hunting; 3 CSR 10-11.186; 10/1/18, 1/15/19 
wild plants, plant products, and mushrooms; 3 CSR 10-11.135; 
10/1/18, 1/15/19 

wildlife confinement standards; 3 CSR 10-9.220; 1/15/19 
youth pricing: deer and turkey permits; 3 CSR 10-5.222; 10/1/18, 
1/15/19 

COSMETOLOGY AND BARBER EXAMINERS, BOARD OF 

fees; 20 CSR 2085-3.010; 11/1/18, 2/15/19 

DAM AND RESERVOIR SAFETY COUNCIL 

appeal of action on permits; 10 CSR 22-2.100; 8/1/18, 1/15/19 
construction permit requirements; 10 CSR 22-3.040; 8/1/18, 
1/15/19 

definitions; 10 CSR 22-1.020; 8/1/18, 1/15/19 
enforcement orders and enforcement procedures; 10 CSR 22- 
4.020; 8/1/18, 1/15/19 

general requirements; 10 CSR 22-3.020; 8/1/18, 1/15/19 
registration permit requirements; 10 CSR 22-3.030; 8/1/18, 
1/15/19 

safety permit requirements; 10 CSR 22-3.050; 8/1/18, 1/15/19 
types of permits; 10 CSR 22-2.020; 8/1/18, 1/15/19 
who needs a permit; 10 CSR 22-2.010; 8/1/18, 1/15/19 

DENTAL BOARD, MISSOURI 

board compensation; 20 CSR 2110-1.020; 10/1/18, 1/15/19 
certifications requirements-licensees employed by or contracting 
with federally qualified health centers; 20 CSR 2110-2.260; 
2/1/19 

definitions; 20 CSR 2110-2.001; 2/15/19 

definition of a public health setting; 20 CSR 2110-1.131; 10/1/18, 
1/15/19 

fees; 20 CSR 2110-1.170; 10/1/18, 1/15/19 
general organization; 20 CSR 2110-1.010; 10/1/18, 1/15/19 
license renewal; 20 CSR 2110-2.030; 10/1/18 
licensure by endorsement; 20 CSR 2110-2.011; 10/1/18 
moderate sedation; 20 CSR 2110-4.020; 11/15/18, 3/1/19 
nonresident military spouse licensure by credentials; 20 CSR 2110- 
2.075; 11/15/18, 3/1/19 

prescribing opioids; 20 CSR 2110-2.250; 12/17/18 
professional conduct rules; 20 CSR 2110-2.060; 10/1/18 

DRIVER LICENSE 

documents required for issuance of a driver license, nondriver 
license, or instruction permit; 12 CSR 10-24.448; 9/4/18, 
1/2/19 

procedure for obtaining a “J88” notation on a drivers license for 
deafness or hard of hearing; 12 CSR 10-24.470; 9/17/18, 
1/2/19 

ECONOMIC DEVELOPMENT, DEPARTMENT OF 

applications; 4 CSR 80-7.030; 11/1/18 

application to participate and qualifications for tax credits; 4 CSR 
195-5.020; 11/1/18 

approval and notification for tax credits to business firms; 4 CSR 
85-2.030; 11/1/18 

approval of plan to issue municipal bonds for industrial develop 
ment projects; 4 CSR 80-2.020; 11/1/18 
basic industry retraining program; 4 CSR 195-2.020; 11/1/18 




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March 1, 2019 
Vol. 44. No. 5 


definitions; 

4 CSR 80-5.010; 11/1/18 
4 CSR 80-7.010; 11/1/18 

determination of eligible industries and projects; 4 CSR 80-5.020; 

11/1/18 

economic development; 4 CSR 85-2.015; 11/1/18 
entrepreneurial development council; 4 CSR 85-7.010; 11/1/18 
employee/trainee eligibility; 4 CSR 195-5.030; 11/1/18 
general; 4 CSR 85-2.010; 11/1/18 
general organization; 

4 CSR 80-1.010; 11/1/18 
4 CSR 195-1.010; 11/1/18 

general rules, missouri job development fund training programs; 4 
CSR 195-2.010; 11/1/18 

issuing of the tax credit; 4 CSR 85-2.040; 11/1/18 
job retention training program; 4 CSR 195-3.020; 11/1/18 
missouri job training joint legislative oversight committee; 4 CSR 
195-2.030; 11/1/18 

municipal bonding for industrial development; 4 CSR 80-2.010; 

11/1/18 

new jobs training program; 4 CSR 195-3.010; 11/1/18 

new or expanding industry training program; 4 CSR 195-2.010; 

11/1/18 

preparation of application for the neighborhood assistance pro 
gram; 4 CSR 85-2.020; 11/1/18' 
preparation of the lease agreement; 4 CSR 80-2.030; 11/1/18 
procedures; 4 CSR 80-7.020; 11/1/18 
purpose; business eligibility; 4 CSR 195-5.010; 11/1/18 
recovery zone bond allocation, waiver, and reallocation; 4 CSR 
85-6.010; 11/1/18 

tax credits; continuance of certification; qualifying a missouri small 
business; and IRR determination; 4 CSR 80-7.040; 

11/1/18 

the missouri youth service and conservation corps; 4 CSR 195- 
4.010; 11/1/18 

ELECTED OFFICIALS 

calculation and revision of property tax rates by political subdivi 
sions other than school districts; 15 CSR 40-3.125; 3/1/19 
calculation and revision of property tax rates by school districts; 15 
CSR 40-3.125; 3/1/19 

ELEMENTARY AND SECONDARY EDUCATION, DEPART¬ 
MENT OF 

A+ schools program; 5 CSR 20-100.200; 11/1/18 
advanced placement and international baccalaureate fee payment 
programs; 5 CSR 20-100.120; 12/17/18 
certificate of license to teach content areas; 5 CSR 20-400.250; 

3/1/19 

certification requirements for teacher of secondary education 
(grades 9-12); 5 CSR 20-400.540; 2/15/19 
financial and administrative services, division of 

requirements for the operation of school buses; 5 CSR 30- 
261.010; 1/2/19 

graduation requirements for students in public high schools; 5 CSR 
20-100.190; 12/17/18 
learning services, division of 

general provisions governing programs authorized under the 
early childhood development act; 5 CSR 20-[600.110] 

100.330; 1/2/19 

standards for charter sponsorship; 5 CSR 20-100.260; 1/2/19 
metropolitan school district retired teacher program; 5 CSR 30- 
345.030; 11/1/18 

policies and standards for summer school programs; 5 CSR 20- 
100.160; 11/1/18 

required assessments for professional education certification in mis 
souri; 5 CSR 20-400.280; 3/1/19 
standards for vocational rehabilitation; 5 CSR 20-500.110; 

12/17/18 

virtual instruction program; 5 CSR 20-100.230; 2/15/19 


ENERGY, DIVISION OF 

energy loan program; 4 CSR 340-2; 5/15/18 
energy set-aside fund; 4 CSR 340-2; 1/2/18 

EXECUTIVE ORDERS 

code of conduct; 18-10; 1/2/19 

establishes the Missouri 2020 Complete Count Committee December 
18, 2018; 18-12; 2/1/19 
Proclamation ; 

governor temporarily reduces line items in the budget; 10/31/18 
transfers the division of energy to the department of natural 
resources; 19-01; 1/17/19 

transfers the division of workforce development to the department of 
higher education; 19-03; 1/17/19 

transfers the office of public counsel and public service commission 
to the department of insurance, financial institutions and pro 
fessional registration; 19-02; 1/17/19 

FAMILY SUPPORT DIVISION 

administrative hearings 13 CSR 30-7.010; 11/1/18 
13 CSR 40-100.020; 11/1/18 

business enterprise for the blind; 13 CSR 40-91.010; 11/1/18 
child support obligation guidelines; 

13 CSR 30-5.010; 10/1/18, 3/1/19 
13 CSR 40-102.010; 10/1/18, 3/1/19 
cooperation requirement; 

13 CSR 30-8.010; 10/1/18, 3/1/19 
13 CSR 40-100.030; 10/1/18, 3/1/19 
court review and dispositional hearing; 13 CSR 40-73.018; 

10/1/18, 3/1/19 

date cash payments are due and payable; 13 CSR 40-2.150; 

9/4/18, 2/1/19 

definition of abandonment of residence; 13 CSR 40-2.040; 11/1/18 
definitions relating to money payments; 13 CSR 40-2.090; 9/4/18, 

2/1/19 

determining eligibility for medical assistance; 13 CSR 40-2.200; 

11/1/18 

domestic violence shelter tax credit; 13 CSR 40-79.010; 9/4/18 
exemption of child placing agencies from licensure; 13 CSR 40- 
73.015; 10/1/18, 3/1/19 

family homes offering foster/adoptive care; 13 CSR 40-50.010; 

11/1/18 

foster/relative/adoptive parent grievance procedure; 13 CSR 40- 
36.001; 10/1/18, 3/1/18 

general application procedures; 13 CSR 40-2.010; 11/1/18 
general reinvestigation procedures; 13 CSR 40-2.020; 11/1/18 
maternity home tax credit; 13 CSR 40-80.010; 9/4/18, 2/1/19 
medical assistance for families; 13 CSR 40-2.375; 9/4/18, 2/1/19 
methods used to determine the amount of cash payments; 13 CSR 
40-2.120; 11/1/18 

MO HealthNet for families; 13 CSR 40-7.070; 9/4/18, 2/1/19 
newborns deemed to be eligible for title XIX; 13 CSR 40-2.260; 

11/1/18 

parental support; 13 CSR 40-34.060; 11/1/18 
prevention of blindness program; 13 CSR 40-91.030; 11/1/18 
processing of applications for state and federal funds for providing 
child care services; 13 CSR 40-32.020; 10/1/18, 3/1/19 
rates for foster care; 13 CSR 40-34.012; 7/16/18, 12/17/18 
reporting of child support debts to consumer reporting 
13 CSR 30-6.010; 11/1/18 
13 CSR 40-104.020; 11/1/18 

review and modification of child and/or medical support orders 
13 CSR 30-5.020; 11/1/18 
13 CSR 40-106.010; 11/1/18 
scope and definitions; 13 CSR 40-7.010; 11/1/18 
spend down program; 13 CSR 40-2.395; 11/1/18 

GAMING COMMISSION, MISSOURI 

advertising 11 CSR 45-30.020; 12/3/18 

commission approval of procedures; 11 CSR 45-40.030; 12/3/18 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 883 


minimum internal control standards (MlCS)-Chapter B; 11 CSR 
45-9.102; 12/3/18 

minimum internal control standards (MlCS)-Chapter F; 11 CSR 
45-9.106; 12/3/18 

minimum internal control standards (MlCS)-Chapter I; 11 CSR 
45-9.109; 12/3/18 

minimum internal control standards (MlCS)-Chapter P; 11 CSR 
45-9.116; 12/3/18 

minimum internal control standards (MlCS)-Chapter Q; 11 CSR 
45-9.117; 12/3/18 

nongambling hours; 11 CSR 45-7.130; 12/3/18 
occupational license; 11 CSR 45-4.420; 12/3/18 

HAZARDOUS WASTE MANAGEMENT COMMISSION 

abandoned or uncontrolled hazardous waste disposal sites; 10 CSR 
25-10.010; 7/16/18, 2/1/19 

definitions modifications to incorporations and confidential business 
information; 10 CSR 25-3.260; 7/16/18, 2/1/19 
fees and taxes; 10 CSR 25-12.010; 7/16/18, 2/1/19 
hazardous substance environmental remediation (voluntary cleanup 
program); 10 CSR 25-15.010; 7/16/18, 2/1/19 
hazardous waste management commission appeals and requests for 
hearings; 10 CSR 25-2.020; 7/16/18, 2/1/19 
hazardous waste resource recovery processes; 10 CSR 25-9.020; 

7/16/18, 2/1/19 

interim status standards for owners and operators of hazardous waste 
treatment, storage, and disposal facilities; 10 CSR 25-7.265; 

7/16/18, 2/1/19 

methods for identifying hazardous waste; 10 CSR 25-4.261; 7/16/18, 
2/1/19 

Missouri administered permit programs: the hazardous waste permit 
program; 10 CSR 25-7.270; 7/16/18, 2/1/19 
polychlorinated biphenyls; 10 CSR 25-13.010; 7/16/18, 2/1/19 
procedures for decision making; 10 CSR 25-8.124; 7/16/18, 2/1/19 
recycled used oil management standards; 10 CSR 25-11.279; 

7/16/18, 2/1/19 

standards applicable to generators of hazardous waste; 10 CSR 25- 
5.262; 7/16/18, 2/1/19 

standards for owners and operators of hazardous waste treatment, 
storage, and disposal facilities; 10 CSR 25-7.264; 7/16/18, 

2/1/19 

standards for the management of specific hazardous wastes and spe¬ 
cific types of hazardous waste management facilities; 10 
CSR 25-7.266; 7/16/18, 2/1/19 

standards for transporters of hazardous waste; 10 CSR 25-6.263; 

7/16/18, 2/1/19 

standards for universal waste management; 10 CSR 25-16.273; 

7/16/18, 2/1/19 

voting procedures; 10 CSR 25-2.010; 7/16/18, 2/1/19 

HEALING ARTS, STATE BOARD OF REGISTRATION FOR 

administration of vaccines per protocol; 20 CSR 2150-5.025; 

10/1/18, 1/15/19 

collaborative practice; 20 CSR 2150-5.100; 1/2/19 

HEALTH AND SENIOR SERVICES, DEPARTMENT OF 

levels of maternal and neonatal care designations; 19 CSR 20- 
60.010; 2/1/19 
office of the director 

prohibition on expenditure of funds; 19 CSR 10-15.060; 

8/15/18, 1/2/19 

missouri adoptee rights; 19 CSR 10-10.130; 10/15/18, 2/1/19 
missouri state public health laboratory 

testing for metabolic and genetic disorders; 19 CSR 25- 
36.010; 3/1/19 

nursing home administrators, Missouri board of 

inactive licensure status; 19 CSR 73-2.053; 10/1/18, 3/1/19 
procedures and requirements for limited licensure of adminis 
trators; 19 CSR 73-2.023; 10/1/18, 3/1/19 
renewal of licenses; 19 CSR 73-2.050; 10/1/18, 3/1/19 
registration of training agencies and single offering providers; 
19 CSR 73-2.060; 10/1/18, 3/1/19 
retired licensure status; 19 CSR 73-2.051; 10/1/18, 3/1/19 


regulation and licensure, division of 

disposing of unwanted controlled substances; 19 CSR 30- 
1.078; 10/15/18, 2/15/19 
general provisions; 19 CSR 30-95.020; 1/15/19 
partial filling of controlled substance prescriptions; 19 CSR 
30-1.064; 10/15/18, 2/15/19 

registration changes; 19 CSR 30-1.023; 10/15/18, 2/15/19 
schedules of controlled substances; 19 CSR 30-1.002; 12/3/18 
HIGHER EDUCATION, DEPARTMENT OF 
A 4- scholarship program; 6 CSR 10-2.190; 3/1/19 
academic program approval; 6 CSR 10-4.010; 12/3/18 
access missouri financial assistance program; 6 CSR 10-2.150; 
3/1/19 

competitiveness scholarship program; 6 CSR 10-2.120; 3/1/19 
higher education academic scholarship program; 6 CSR 10-2.080; 
3/1/19 

institutional eligibility for student participation; 6 CSR 10-2.140; 
3/1/19 

kids’ chance scholarship program; 6 CSR 10-2.170; 3/1/19 
minority and underrepresented environmental literacy program; 6 
CSR 10-2.180; 3/1/19 

public safety officer or employee’s child survivor grant program; 6 
CSR 10-2.100; 3/1/19 

war veteran's survivors grant program; 6 CSR 10-2.160; 3/1/19 

INSURANCE 

applied behavior analysis maximum benefit; 20 CSR; 3/1/19 
construction claims binding arbitration cap; 20 CSR; 12/17/18 
definitions; 20 CSR 800-33)10; 12/3/18 
general procedures; 20 CSR 800-3.020; 12/3/18 
insurance solvency and company regulation 

abandonment or amendment of plan; 20 CSR 200-16.120; 
2/15/19 

accounting standards and principles; 20 CSR 200-1.020; 
12/3/18 

admission; 20 CSR 200-20.030; 1/2/19 
amendment and restatement of articles; 20 CSR 200-5.010; 
12/3/18 

annual certification and filing; 20 CSR 200-10.300; 1/15/19 
annual filings due by march 1; 20 CSR 200-9.800; 2/15/19 
application for certificate of authority; 20 CSR 200-9.600; 
2/15/19 

application; hearing; 20 CSR 200-16.040; 2/15/19 
appraisal requirements; 20 CSR 200-13.100; 1/15/19 
assumption reinsurance; 20 CSR 200-2.800; 12/3/18 
availability of information; 20 CSR 200-16.090; 2/15/19 
books, records, accounts and vouchers; 20 CSR 200-4.010; 
12/3/18 

compensation; 20 CSR 200-16.070; 2/15/19 
contents of plan; 20 CSR 200-16.030; 2/15/19 
corporate existence; 20 CSR 200-16.110; 2/15/19 
definitions; 20 CSR 200-16.020; 2/15/19 
dissolution of plan; 20 CSR 200-14.400; 1/15/19 
dividends; 20 CSR 200-11.150; 1/15/19 
effective date; 20 CSR 200-16.100; 2/15/19 
employers who join the plan after a certificate of authority is 
granted; 20 CSR 200-14.300; 1/15/19 
extended missouri and missouri mutual companies’ financial 
reinsurance requirements; 20 CSR 200-12.030; 1/15/19 
faithful performance of a motor vehicle extended service con 
tract provider’s obligations; 20 CSR 200-18.020; 2/15/19 
faithful performance of a service contract provider’s obliga 
tions (non-motor vehicle); 20 CSR 200-18.120; 2/15/19 
financial standards for health maintenance organizations; 20 
CSR 200-1.040; 12/3/18 

financial standards for prepaid dental plans; 20 CSR 200- 
1.050; 12/3/18 

forms; 20 CSR 200-10.500; 1/15/19 
general standards applicable to audited financial reports; 20 
CSR 200-1.150; 12/3/18 

limitations on ownership; 20 CSR 200-16.060; 2/15/19 




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March 1, 2019 
Vol. 44. No. 5 


management and control; 20 CSR 200-20.050; 1/2/19 
management contracts to be filed; 20 CSR 200-11.300; 
1/15/19 

material transactions between affiliates under section 
382.195.1(7), RSMo; 20 CSR 200-11.120; 1/15/19 
materials to be utilized by the director; 20 CSR 200-1.005; 
12/3/18 

materiality, fairness, and reasonableness of certain affiliated 
transactions; 20 CSR 200-11.130; 1/15/19 
member approval; 20 CSR 200-16.050; 2/15/19 
MGA filing requirements; 20 CSR 200-10.100; 1/15/19 
mortgage loans as admissible assets; 20 CSR 200-13.200; 
1/15/19 

mortgage loans as admissible deposits; 20 CSR 200-7.300; 
2/15/19 

net worth requirements; 20 CSR 200-19.060; 1/2/19 
new business facility tax credit; 20 CSR 200-3.200; 12/3/18 
qualifications of actuary or consulting actuary; 20 CSR 200- 
1.110; 12/3/18 

real estate held after ten years; 20 CSR 200-13.300; 1/15/19 
registration; 20 CSR 200-19.050; 12/3/18 
registration of motor vehicle extended service contract 
“ providers; 20 CSR 200-18.010; 2/15/19 
registration of service contract providers (non-motor vehicle); 

“ 20 CSR 200-18.110; 2/15/19 
reinsurance—lloyd's, london, england; 20 CSR 200-2.200; 
12/3/18 

reinsurance mirror image rule; 20 CSR 200-2.700; 12/3/18 
renewal of certificate of authority; 

20 CSR 200-14.200; 1/15/19 
20 CSR 200-9.700; 2/15/19 

reporting of flexible payment deferred annuity contract premi 
urns; 20 CSR 200-3.010; 12/3/18 
scope and definitions; 

20 CSR 200-20.010; 1/2/19 
20 CSR 200-19.020; 12/3/18 
severability; 20 CSR 200-16.130; 2/15/19 
standards for determining the availability of coverage; 20 
CSR 200-6.500; 2/15/19 

subordinated indebtedness; 20 CSR 200-1.070; 12/3/18 
substantial compliance; 20 CSR 200-16.080; 2/15/19 
supplemental filing requirements for material transactions; 20 
CSR 200-1.039; 12/3/18 

surplus lines insurance forms; 20 CSR 200-6.100; 2/15/19 
surplus lines premium tax allocation formulas; 20 CSR 200- 
6.400; 2/15/19 

take-out letters; 20 CSR 200-1.120; 12/3/18 
termination of appointment; 20 CSR 200-10.400; 1/15/19 
TPA name requirements; 20 CSR 200-9.500; 2/15/19 
valuation of invested assets; 20 CSR 200-1.025; 12/3/18 
insurer conduct 

adopting NAIC handbooks and standards; 20 CSR 100-4.020; 
1/15/19 

assignment of benefits; 20 CSR 100-1.300; 1/15/19 
claims practices when retrospective premiums paid; 20 CSR 
100-1.200; 1/15/19 

collaborative actions; 20 CSR 100-8.014; 1/15/19 
definitions; 

20 CSR 100-1.010; 1/15/19 
20 CSR 100-4.010; 1/15/19 
examination warrants; 20 CSR 100-8.005; 1/15/19 
financial condition of insurance companies; 20 CSR 100- 
1.010; 12/3/18 

forms; 20 CSR 100-4.030; 1/15/19 
fraud investigation reports; 20 CSR 100-3.100; 1/15/19 
hearing on examination warrants; 20 CSR 100-8.008; 1/15/19 
identification cards issued by health carriers; 20 CSR 100- 
1.070; 1/15/19 


notice of examination; 20 CSR 100-8.015; 1/15/19 
post-examination procedure; 20 CSR 100-8.018; 1/15/19 
requirements for the filing of papers, documents, or reports 
with the insurance market regulation division; 20 CSR 
100-9.100; 12/3/18 

sampling and error rates; 20 CSR 100-8.020; 1/15/19 
scope and definitions; 

20 CSR 100-7.002; 1/15/19 
20 CSR 100-8.002; 1/15/19 

standards for prompt, fair and equitable settlement of claims; 

20 CSR 100-1.050; 1/15/19 
standards of analysis; 20 CSR 100-7.010; 1/15/19 
standards of examinations; 20 CSR 100-8.010; 1/15/19 
timing of examinations; 20 CSR 100-8.010; 1/15/19 
unfair financial planning practices; 20 CSR 100-2.100; 

1/15/19 

uniform analysis and continuum of actions; 20 CSR 100- 
7.005; 1/15/19 
life, annuities and health 

changes to documents submitted to obtain original certificate 
of authority; 20 CSR 400-7.020; 1/2/19 
establishment and computation of reserves; 20 CSR 400- 
6.100; 12/3/18 

notice to parents of group and blanket student accident poli 
cies; 20 CSR 400-2.040; 2/15/19 
non-economic damages in medical malpractice cap; 20 CSR; 

6/15/18 
property and casualty 

definitions;20 CSR 500-10.100; 12/3/18 
financial regulation; 20 CSR 500-10.200; 12/3/18 
marine, inland marine, definition with scope of coverage; 20 
CSR 500-1.200; 1/15/19 

medical malpractice associations; 20 CSR 500-5.100; 2/15/19 
minimum standards for claims-paid policies; 20 CSR 500- 
1.900; 1/15/19 

mobile homes as collateral; 20 CSR 500-2.500; 1/15/19 
motor vehicles and goods as collateral; 20 CSR 500-1.700; 

1/15/19 

policyholder and mutual members participation; 20 CSR 500- 
1.400; 1/15/19 

rate variations (consent rate) prerequisites; 20 CSR 500- 
4.300; 1/15/19 

unfair acts or practices; 20 CSR 500-10.300; 12/3/18 
sovereign immunity limits; 20 CSR; 12/17/18 
state legal expense fund; 20 CSR; 12/17/18 
statistical reporting 

credit dismemberment insurance; 20 CSR 600-2.400; 1/15/19 
credit insurance-indirect compensation; 20 CSR 600-2.600; 

1/15/19 

credit life and accident and sickness rates; 20 CSR 600-2.110; 
1/15/19 

credit life and accident and sickness premium rates; 20 CSR 
600-2.500; 1/15/19 

credit property insurance; 20 CSR 600-2.200; 1/15/19 
dram shop cost data reporting; 20 CSR 600-1.020; 1/15/19 
involuntary unemployment; 20 CSR 6000-2.300; 1/15/19 
life and accident and sickness; 20 CSR 600-2.100; 1/15/19 
refund of credit insurance premiums; 20 CSR 600-2.120; 

1/15/19 

time periods and termination of credit accident and sickness 
insurance; 20 CSR 600-2.510; 1/15/19 
supplementary executive orders; 20 CSR 10-3.900; 2/15/19 

INTERPRETERS, STATE COMMITTEE OF 

fees; 20 CSR 2232-1.040; 12/17/18 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 885 


LABOR AND INDUSTRIAL RELATIONS, DEPARTMENT 
OF 

labor standards, division of 

applicable wage rates for public works projects; 8 CSR 30- 
3.010; 1/2/19 

apprentices and entry-level workers; 8 CSR 30-3.030; 1/2/19 
occupational titles of work descriptions; 8 CSR 30-3.060; 
1/2/19 

MENTAL HEALTH, DEPARTMENT OF 

background screening requirements; 9 CSR 10-5.190; 3/1/19 
behavioral health healthcare home; 9 CSR 10-7.035; 10/15/18, 
2/15/19 

dietary service; 9 CSR 10-7.080; 12/17/18 
essential principles and outcomes; 9 CSR 10-7.010; 12/17/18 
fiscal management; 9 CSR 10-7.100; 12/17/18 
governing authority and program administration; 9 CSR 10-7.090; 
12/17/18 

health home; 9 CSR 10-5.240; 10/15/18, 2/15/19 

individual support plans; 9 CSR 45-3.010; 3/1/19 

performance improvement; 9 CSR 10-7.040; 12/17/18 

personnel; 9 CSR 10-7.110; 12/17/18 

physical environment and safety; 9 CSR 10-7.120; 12/17/18 

procedures to obtain certification; 9 CSR 10-7.130; 12/17/18 

required educational assessment and community treatment program 

(REACT); 9 CSR 30-3.230; 3/1/19 

research; 9 CSR 10-7.050; 12/17/18 

rights, responsibilities, and grievances; 9 CSR 10-7.020; 12/17/18 
service delivery process and documentation; 9 CSR 10-7.030; 
12/17/18 

MISSOURI CONSOLIDATED HEALTH CARE PLAN 

board of trustees election process; 22 CSR 10-1.030; 12/3/18 

contributions; 22 CSR 10-2.030; 12/3/18 

definitions; 

22 CSR 10-2.010; 12/3/18 
22 CSR 10-3.010; 12/3/18 

general foster parent membership provisions; 22 CSR 10-2.110; 
12/3/18 

general membership provisions; 

22 CSR 10-2.020; 12/3/18 
22 CSR 10-3.020; 12/3/18 

health savings account plan benefit provisions and covered charges; 
22 CSR 10-2.053; 12/3/18 
22 CSR 10-3.055; 12/3/18 
medical plan benefit provisions and covered charges; 

22 CSR 10-2.055; 12/3/18 
22 CSR 10-3.057; 12/3/18 

medicare advantage plan for non-active medicare primary mem 
bers; 22 CSR 10-2.088; 12/3/18 
miscellaneous provisions; 

22 CSR 10-2.080; 12/3/18 
22 CSR 10-3.080; 12/3/18 
pharmacy benefit summary; 

22 CSR 10-2.090; 12/3/18 
22 CSR 10-3.090; 12/3/18 

pharmacy employer group waiver plan for medicare primary mem 
bers; 22 CSR 10-2.089; 12/3/18 
plan limitations; 

22 CSR 10-2.061; 12/3/18 
22 CSR 10-3.061; 12/3/18 
plan utilization review policy; 

22 CSR 10-2.045; 12/3/18 
22 CSR 10-3.045; 12/3/18 

ppo 750 plan benefit provisions and covered charges; 22 CSR 10- 
2.046; 12/3/18 

ppo 1250 plan benefit provisions and covered charges; 22 CSR 10- 
2.047; 12/3/18 

ppo 300 plan benefit provisions and covered charges; 22 CSR 10- 
2.051; 12/3/18 

ppo 600 plan benefit provisions and covered charges; 

22 CSR 10-2.052; 12/3/18 
22 CSR 10-3.056; 12/3/18 


ppo 300 plan, ppo 600 plan, and health savings account plan limi 
tations; 22 CSR 10-2.060; 12/3/18 
ppo 1000 plan benefit provisions and covered charges; 22 CSR 10- 
3.053; 12/3/18 

ppo 750 plan benefit provisions and covered charges; 22 CSR 10- 
3.058; 12/3/18 

ppo 1250 plan benefit provisions and covered charges; 22 CSR 10- 
3.059; 12/3/18 

ppo 600 plan, ppo 1000 plan, and health savings account plan; 22 
CSR 10-3.060; 12/3/18 

review and appeals procedure; 22 CSR 10-2.075; 12/3/18 
strive for wellness health center provisions, charges, and services; 
22 CSR 10-2.140; 12/3/18 

MO HEALTHNET DIVISION 

behavioral health services program; 13 CSR 70-98.015; 11/1/18 
biopsychosocial treatment of obesity for youth and adults; 13 CSR 
70-3.270; 9/4/18, 2/1/19 

complementary health and alternative therapies for chronic pain 
management; 13 CSR 70-3.300; 9/17/18, 2/15/19 
computation of provider overpayment by statistical sampling; 13 
CSR 70-3.130; 10/1/18, 3/1/19 
drug reimbursement methodology; 13 CSR 70-20.070; 9/4/18, 
2/1/19 

drugs covered by the MO healthnet pharmacy program; 13 CSR 
70-20.030; 10/1/18, 3/1/19 

filing of claims, mo healthnet program; 13 CSR 70-3.100; 11/1/18 
global per diem adjustments to nursing facility and hiv nursing 
facility reimbursement rates; 13 CSR 70-10.016; 11/1/18, 
2/1/19, 3/1/19 

home and community-based services waiver definitions; 13 CSR 
70-3.280; 2/1/19 

home and community-based services waiver setting requirements; 
13 CSR 70-3.290; 2/1/19 

independent rural health clinic program; 13 CSR 70-94.010; 
12/3/18 

limitations on allowable nursing facility costs to reserve a bed for 
absences due to hospital admission; 13 CSR 70-10.070; 
10/1/18, 3/1/19 

list of drugs for which prior authorization is required and drugs 
excluded from coverage under the MO HealthNet pharmacy 
program; 13 CSR 70-20.031; 11/1/18 
list of non-excludable drugs for which prior authorization is 
required; 13 CSR 70-20.034; 11/1/18 
MO HealthNet program benefits for federally-qualified health cen 
ter; 13 CSR 70-26.010; 11/1/18 
national drug code requirement; 13 CSR 70-20.340; 11/1/18 
payment policy for provider preventable conditions; 13 CSR 70- 
3.230; 10/1/18, 3/1/19 

podiatric services program; 13 CSR 70-30.010; 11/1/18 
prior authorization committee for non-pharmaceutical behavioral 
health services; 13 CSR 70-98.020; 11/1/18 
professional dispensing fee; 13 CSR 70-20.060; 9/4/18, 2/1/19 
prospective outpatient hospital services reimbursement methodolo 
gy; 13 CSR 70-15.160; 2/15/19 

public nursing facility upper payment limit payment; 13 CSR 70- 
10.160; 10/1/18, 3/1/19 

reimbursement for nurse assistant training; 13 CSR 70-10.120; 
9/17/18, 2/15/19 

shared dispensing fee for pharmacy services; 13 CSR 70-4.051; 
11/1/18 

title XIX procedure of exception to medical care services limita¬ 
tions; 13 CSR 70-2.100; 10/1/18, 3/1/19 

NATURAL RESOURCES, DEPARTMENT OF 

consolidation of permit processing; 10 CSR 1-3.010; 8/1/18, 

1/2/19 

safe drinking water commission 

administrative penalty assessment; 10 CSR 60-6.070 ; 7/16/18, 
1/2/19 




Page 886 


Index 


March 1, 2019 
Vol. 44. No. 5 


backflow prevention assembly tester certification; 10 CSR 60- 
11.030; 7/16/18, 1/2/19 

drinking water state revolving fund program; 10 CSR 60- 
13.020; 7/16/18, 1/2/19 

certification of public water system operators; 10 CSR 60- 
14.020; 7/16/18, 1/2/19 

classification of public water systems and system requirements; 

10 CSR 60-14.010; 7/16/18, 1/2/19 
construction authorization, final approval of construction, 
owner-supervised program and permit to dispense water; 

10 CSR 60-3.010; 7/16/18, 1/2/19 
consumer confidence reports; 10 CSR 60-8.030; 7/16/18, 

1/2/19 

continuing operating authority; 10 CSR 60-3.020; 7/16/18; 
1/2/19 

disinfection requirements; 10CSR 60-4.055; 7/16/18, 1/2/19 
environmental review; 10 CSR 60-13.030; 7/16/18, 1/2/19 
grants for public water supply districts and small municipal 
water supply; 10 CSR 60-13.010; 7/16/18, 1/2/19 
ground water rule monitoring and treatment technique require 
ments; 10 CSR 60-4.025; 7/16/18, 1/2/19 
maximum contaminant levels and monitoring requirements for 
disinfection by-products; 10 CSR 60-4.060; 7/16/18, 

1/2/19 

maximin radionuclide contaminant levels and monitoring 
requirements; 10 CSR 60-4.060; 7/16/18, 1/2/19 
maximum turbidity levels and monitoring requirements and fil 
ter backwash recycling; 10 CSR 60-4.050; 7/16/18, 1/2/19 
maximum volatile organic chemical contaminant levels and 
monitoring requirements; 10 CSR 60-4.100; 7/16/18, 

1/2/19 

operational monitoring; 10 CSR 60-4.080; 7/16/18, 1/2/19 
prevention of backflow; 10 CSR 60-11.010; 7/16/18, 1/2/19 
public notification of conditions affecting a public water supply; 

10 CSR 60-8.010; 7/16/18, 1/2/19 
reporting requirements; 10 CSR 60-7.010; 7/16/18, 1/2/19 
requirements for maintaining public water system records; 10 
CSR 60-9.010; 7/16/18, 1/2/19 
revised total coliform rule; 10 CSR 60-4.022; 7/16/18, 1/2/19 
disinfectant residuals, disinfection byproduct precursors and the 
stage 2 disinfectants/disinfection byproducts rule 10 CSR 60- 
^ 4.094; 7/16/18, 1/2/19 

state loan program; 10 CSR 60-13.025; 7/16/18, 1/2/19 
source water monitoring and enhanced treatment requirements; 

10 CSR 60-4.052; 7/16/18, 1/2/19 
technical, managerial, and financial capacity; 10 CSR 60-3.030; 
7/16/18, 1/2/19 

waivers from baseline monitoring requirements; 10 CSR 60- 
6.060; 7/16/18, 1/2/19 

state environmental improvement and energy resources authority 
application forms and fees; 10 CSR 130-1.020; 11/15/18, 

3/1/19 

definitions; 10 CSR 130-1.010; 11/15/18, 3/1/19 

NURSING, STATE BOARD OF 

fees; 20 CSR 2200-4.010; 3/1/19 

nursing education incentive program; 20 CSR 2200-7.010; 

11/15/18 

OFFICE OF STATEWIDE ELECTRICAL CONTRACTORS 

application for license; 20 CSR 2117-2.010; 1/15/19 
approved examinations; 20 CSR 2117-2.020; 1/15/19 
certifying entities; 20 CSR 2117-1.040; 1/15/19 
complaint handling and disposition procedure; 20 CSR 2117-4.010; 
1/15/19 

definitions; 20 CSR 2117-1.010; 1/15/19 
duplicate license; 20 CSR 2117-1.060; 1/15/19 
ethical standards; 20 CSR 2117-5.010; 1/15/19 
fees; 20 CSR 2117-1.070; 1/15/19 
general organization; 20 CSR 2117-1.020; 1/15/19 


issuance of temporary courtesy license to nonresident military 
spouse; 20 CSR 2117-2.080; 1/15/19 
military training to meet requirements for licensure; 20 CSR 2117- 
2.060; 1/15/19 

name and address change; 20 CSR 2117-1.050; 1/15/19 
public records; 20 CSR 2117-1.030; 1/15/19 
qualifier requirement; 20 CSR 2117-3.010; 1/15/19 
registration of employment; 20 CSR 2117-3.020; 1/15/19 
reinstatement of license; 20 CSR 2117-2.050; 1/15/19 
renewal of licenses; 20 CSR 2117-2.030; 1/15/19 
renewal of licenses for military members; 20 CSR 2117-2.070; 
1/15/19 

suspension of work in a political subdivision; 20 CSR 2117-3.030; 
1/15/19 

voluntary inactive license status; 20 CSR 2117-2.040; 1/15/19 

OIL AND GAS COUNCIL 

application for permit to drill, deepen, plug-back, or recomplete; 10 
CSR 50-2.030; 8/1/18, 1/15/19 
assessment of costs; 10 CSR 50-1.050; 8/1/18, 1/15/19 
bonds; 10 CSR 50-2.020; 8/1/18, 1/15/19 
definitions; 10 CSR 50-1.030; 8/1/18, 1/15/19 
disposal of fluids by injection; 10 CSR 50-2.090; 8/1/18, 1/15/19 
drilling and completion; 10 CSR 50-2.040; 8/1/18, 1/15/19 
general procedures; 10 CSR 50-1.020; 8/1/18, 1/15/19 
injection wells, mechanical integrity testing, and well stimulation 
treatment; 10 CSR 50-2.055; 8/1/18, 1/15/19 
operations; 10 CSR 50-2.065; 8/1/18, 1/15/19 
operator license; 10 CSR 50-2.010; 8/1/18, 1/15/19 
record retention and reporting; 10 CSR 50-2.080; 8/1/18, 1/15/19 
shut-in wells, plugging, and conversion to water well; 10 CSR 50- 
2.060; 8/1/18, 1/15/19 

OPTOMETRY, STATE BOARD OF 

board member compensation; 20 CSR 2210-1.020; 10/1/18, 
1/15/19 

general organization; 20 CSR 2210-1.010; 10/1/18, 1/15/19 
license renewal; 20 CSR 2210-2.030; 10/1/18, 1/15/19 
licensure by endorsement; 20 CSR 2210-2.011; 10/1/18, 1/15/19 
licensure by examination; 20 CSR 2210-2.020; 12/17/18 
professional conduct rules; 20 CSR 2210-2.060; 10/1/18, 1/15/19 

PETROLEUM AND HAZARDOUS SUBSTANCE STORAGE 
TANKS 

risk-based target levels; 10 CSR 26-2.080; 8/1/18, 2/1/19 

PHARMACY, STATE BOARD OF 

collaborative practice; 20 CSR 2200-4.200; 1/2/19 
definitions; 20 CSR 2220-8.010; 1/2/19 
general fees; 20 CSR 2220-4.010; 11/1/18, 1/2/19 
inspection exemptions; 20 CSR 2200-8.050; 1/2/19 
licensing requirements; 20 CSR 2220-8.020; 1/2/19 
nonresident third-party logistics providers/drug outsourcer facili 
ties; 20 CSR 2220-8.030; 1/2/19 
standards of operation (drug outsourcers); 20 CSR 2220-8.040; 
1/2/19 

standards of operation (third-party logistics providers); 20 CSR 
2220-8.045; 1/2/19 

sterile pharmaceuticals; 20 CSR 2220-2.200; 10/1/18, 1/15/19 
termination of business; 20 CSR 2200-8.060; 1/2/19 

PROFESSIONAL COUNSELORS, COMMITTEE FOR 

fees; 20 CSR 2095-1.020; 11/1/18, 2/15/19 

PROFESSIONAL REGISTRATION, DIVISION OF 

designation of license renewal dates and related renewal informa 
tion; 20 CSR 2231-2.010; 2/15/19 
fee waiver for military families and low-income individuals; 20 
CSR 2231-3.010; 12/17/18 
general organization; 20 CSR 2231-1.010; 2/15/19 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 887 


PROPANE SAFETY COMMISSION, MISSOURI 

fiscal year July 1, 2018-June 30, 2019 budget plan; 2 CSR 90; 

8/1/18 

PUBLIC DRINKING WATER PROGRAM 

administrative penalty assessment; 10 CSR 60-6.070; 7/16/18, 

1/2/19 

backflow prevention assembly tester certification; 10 CSR 60- 
11.030; 7/16/18, 1/2/19 

certification of public water system operators; 10 CSR 60-14.020; 

7/16/18, 1/2/19 

classification of public water systems and system requirements; 10 
CSR 60-14.010; 7/16/18, 1/2/19 

construction authorization, final approval of construction, owner- 
supervised program and permit to dispense water; 10 CSR 60- 
3.010; 7/16/18, 1/2/19 

consumer confidence reports; 10 CSR 60-8.030; 7/16/18, 1/2/19 
continuing operating authority; 10 CSR 60-3.020; 7/16/18, 1/2/19 
disinfectant residuals, disinfection byproduct precursors and the 
stage 2 disinfectants/disinfection byproducts rule; 10 CSR 60- 
4.094; 7/16/18, 1/2/19 

disinfection requirements; 10 CSR 60-4.055; 7/16/18, 1/2/19 
drinking water state revolving fund program; 10 CSR 60-13.020; 

7/16/18, 1/2/19 

environmental review; 10 CSR 60-13.030; 7/16/18, 1/2/19 
grants for public water supply districts and small municipal water 
supply systems; 10 CSR 60-13.010; 7/16/18, 1/2/19 
ground water rule monitoring and treatment technique require¬ 
ments; 10 CSR 60-4.025; 7/16/18, 1/2/19 
maximum contaminant levels and monitoring requirements for dis¬ 
infection by-products; 10 CSR 60-4.090; 7/16/18, 1/2/19 
maximum radionuclide containment levels and monitoring require¬ 
ments; 10 CSR 60-4.060; 7/16/18, 1/2/19 
maximum turbidity levels and monitoring requirements and filter 
backwash recycling; 10 CSR 60-4.050; 7/16/18, 1/2/19 
maximum volatile organic chemical contaminant levels and moni¬ 
toring requirements; 10 CSR 60-4.100; 7/16/18, 1/2/19 
operational monitoring; 10 CSR 60-4.080; 7/16/18, 1/2/19 
prevention of backflow; 10 CSR 60-11.010; 7/16/18, 1/2/19 
public notification of conditions affecting a public water supply; 10 
CSR 60-8.010; 7/16/18, 1/2/19 

reporting requirements; 10 CSR 60-7.010; 7/16/18, 1/2/19 
requirements for maintaining public water system records; 10 CSR 
60-9.010; 7/16/18, 1/2/19 

revised total coliform rule; 10 CSR 60-4.022; 7/16/18, 1/2/19 
state loan program; 10 CSR 60-13.025; 7/16/18, 1/2/19 
source water monitoring and enhanced treatment requirements; 10 
CSR 60-4.052; 7/16/18, 1/2/19 

technical, managerial, and financial capacity; 10 CSR 60-3.030; 

7/16/18, 1/2/19 

waivers from baseline monitoring requirements; 10 CSR 60-6.060; 

7/16/18, 1/2/19 

PUBLIC SAFETY, DEPARTMENT OF 

appeals procedure and time limits for victims of crime act grant 
applications; 11 CSR 30-16.020; 2/1/17 
application for license; 11 CSR 70-2.020; 11/15/18 
ceded areas; 11 CSR 70-2.180; 11/15/18 
change of facts, posting, transfer and lost licenses-executors- 
administrators; 11 CSR 70-2.030; 11/15/18 
guidelines for using minors in intoxicating liquor investigations; 11 
CSR 70-2.280; 11/15/18 
malt liquor tax; 11 CSR 70-2.080; 11/15/18 
manufacturers; 11 CSR 70-2.060; 11/15/18 
manufacturers, wholesalers and distributors; 11 CSR 70-2.040; 

11/15/18 

missouri state highway patrol 

autocycle inspection; 11 CSR 50-2.335; 2/15/19 
definitions; 11 CSR 50-2.010; 2/15/19 
inspection station classification; 11 CSR 50-2.030; 2/15/19 
issuance of inspection stickers and decals; 11 CSR 50-2.110; 

2/15/19 


requisition of inspection stickers, authorities, and decals; 11 
CSR 50-2.100; 2/15/19 

multiple store retailers; 11 CSR 70-2.230; 11/15/18 
organization and methods of operation; 11 CSR70-1.010; 11/15/18 
refunds; 11 CSR 70-2.150; 11/15/18 
report of brewers and beer wholesalers; 11 CSR 70-2.100; 

11/15/18 

reporting distillers, solicitors, wine manufacturers and wholesalers; 

11 CSR 70-2.090; 11/15/18 
retail licensees; 11 CSR 70-2.120; 11/15/18 
retailer employee tobacco training criteria; 11 CSR 70-3.010; 

11/15/18 

retailer’s conduct of business; 11 CSR 70-2.130; 11/15/18 
salvaged alcoholic beverages; 11 CSR 70-2.250; 11/15/18 
state of emergency; 11 CSR 70-2.260; 11/15/18 
tax on spirituous liquor and wine; 11 CSR 70-2.070; 11/15/18 
transfer and registration of lines or brands of spirituous liquor and 
wine; 11 CSR 70-2.270; 11/15/18 
unlawful discrimination and price scheduling; 11 CSR 70-2.190; 

11/15/18 

warehouse receipts for storage of intoxicating liquor; 11 CSR 70- 
2.170; 11/15/18 

wholesalers’ conduct of business; 11 CSR 70-2.050; 11/15/18 

PUBLIC SERVICE COMMISSION 

billing adjustments; 4 CSR 240-13.025; 12/17/18 
billing and payment standards; 4 CSR 240-13.020; 12/17/18 
cold weather maintenance of service: provision of residential heat- 
related utility service during cold weather; 4 CSR 240-3.055; 

12/17/18 

commission complaint procedures; 4 CSR 240-13.070; 12/17/18 
complaints; 4 CSR 240-2.070; 12/17/18 
decommissioning trust funds; 4 CSR 240-20.070; 12/17/18 
definitions 

4 CSR 240-2.010; 12/17/18 
4 CSR 240-13.015; 12/17/18 

deposits and guarantees of payment; 4 CSR 240-13.030; 12/17/18 
discontinuance of service; 4 CSR 240-13.050; 12/17/18 
filing requirements for electric utility rate schedules; 

4 CSR 240-3.145; 12/17/18 
4 CSR 240-20.105; 12/17/18 
filing requirements for gas utility general rate increase 
requests; 4 CSR 240-3.235; 1/2/19 
filing requirements for gas utility rate schedules; 

^4 CSR 240-3.260; 1/2/19 
4 CSR 240-40.085; 1/2/19 

filing requirements for utility company applications for waivers or 
variances; 4 CSR 240-3.015; 12/17/18 
filing requirements regarding utility company name changes; 4 
CSR 240-3.020; 12/17/18 
general definitions; 4 CSR 240-3.010; 12/17/18 
general provisions 

4 CSR 240-13.010; 12/17/18 

income on depreciation fund investments; 4 CSR 240-10.020; 

12/17/18 

minimum filing requirements for utility company general rate 
increase requests; 4 CSR 240-3.030; 12/17/18 
presiding officers; 4 CSR 240-2.120; 12/17/18 
safety standards-liquefied natural gas facilities; 4 CSR 240-40.033; 
2/1/19 

service and billing practices for commercial and industrial cus 
tomers of electric, gas, water and steam heat utilities; 4 CSR 
240-10.040; 12/17/18 

submission of electric utility residential heat-related service cold 
weather report; 4 CSR 240-3.180; 12/17/18 
submission of gas utility residential heat-related service cold 
weather report; 4 CSR 240-3.250; 12/17/18 
submission of reports pertaining to the decommissioning of electric 
utility plants; 4 CSR 240-3.185; 12/17/18 





Page 888 


Index 


March 1, 2019 
Vol. 44. No. 5 


submission requirements for gas utility depreciation studies; 

4 CSR 240-3.275; 1/2/19 
4 CSR 240-40.090; 1/2/19 

utility company tariff filings which create cases; 4 CSR 240-3.025; 
12/17/18 

variance or waiver; 4 CSR 240-2.205; 12/17/18 

REAL ESTATE APPRAISERS 

application, certificate and license fees; 20 CSR 2245-5.020; 

1/2/19 

applications for certification and licensure; 20 CSR 2245-3.010; 
9/17/18, 1/2/19 

case study courses; 20 CSR 2245-6.040; 9/17/18, 1/2/19 
general organization; 20 CSR 2245-1.010; 9/17/18, 1/2/19 
instructor approval; 20 CSR 2245-8.030; 9/17/18, 1/2/19 
requirements; 20 CSR 2245-8.010; 9/17/18, 1/2/19 
trainee real estate appraiser registration; 20 CSR 2245-3.005; 
9/17/18, 1/2/19“ 

RETIREMENT SYSTEMS 

management of funds; 

16 CSR 10-3.020; 2/15/19 
16 CSR 10-6.030; 2/15/19 
service retirement; 

16 CSR 10-5.010; 2/15/19 
16 CSR 10-6.060; 2/15/19 

REVENUE, DEPARTMENT OF 

annual adjusted rate of interest; 12 CSR 10-41.010; 12/3/18 

burden of proof; 12 CSR 10-101.500; 11/15/18 

capital loss allocation between spouses; 12 CSR 10-2.010; 

11/15/18 

dealers’ monthly reports; 12 CSR 10-26.190; 12/3/18 
definition of major component parts of a motor vehicle; 12 CSR 
10-23.345; 12/3/18 

delinquent interest rate for insurance premium and retaliatory 
taxes; 12 CSR 10-10.120; 11/15/18 
emblem-use authorization statement and format for collegiate 
license plates; 12 CSR 10-23.405; 12/3/18 
honorary consular license plates; 12 CSR 10-23.350; 12/3/18 
imposition and waiver of motor vehicle and trailer titling and regis 
tration penalties; 12 CSR 10-23.340; 12/3/18 
inspection of the non-usa standard vehicles prior to titling; 12 CSR 
10-23.260; 12/3/18 

issuance of certificates of title to recreational vehicles manufac 
tured by two separate manufacturers; 12 CSR 10-23.370; 
12/3/18 

leasing company registration; 12 CSR 10-23.424; 12/3/18 
packaging and shipping materials; 12 CSR 10-103.700; 11/15/18 
physicians, dentists, and optometrists; 12 CSR 10-103.395; 

11/15/18 

procedural requirements for public motor vehicle auctions; 12 CSR 
10-26.080; 12/3/18 

proof of state of domicile requirements for commercial driver 
license applicants; 12 CSR 10-24.405; 3/1/19 
purchases by state senators or representatives; 12 CSR 10-110.858; 
11/15/18 

replacement of multiyear license plates; 12 CSR 10-23.280; 

12/3/18 

sales tax rules apply; 12 CSR 10-113.320; 11/15/18 
special license plates; 12 CSR 10-23.100; 12/3/18 
state lottery 

commission meetings; 12 CSR 40-10.040; 1/15/19 
effect of action and submission of evidence; 12 CSR 40- 
70.040; 1/15/19 

player agreement; 12 CSR 40-50.060; 1/15/19 
retailer contract provisions; 12 CSR 40-40.280; 1/15/19 
taxation of sod business; 12 CSR 10-103.876; 11/15/18 


temporary permits sold by a registered missouri motor vehicle 
dealer; 12 CSR 10-26.180; 12/3/18 
ticket sales; 12 CSR 10-103.017; 11/15/18 

SECRETARY OF STATE 

agency disclosure request; 15 CSR 30-70.080; 10/1/18, 1/15/19 
appeals; 15 CSR 30-130.100; 1/2/19 

application assistant training, registration, and renewal; 15 CSR 
30-70.020; 10/1/18, 1/15/19 

applications, interim operating permits, and forms; 15 CSR 30- 
130.020; 1/2/19 

approval of assurance organizations; 15 CSR 30-130.040; 

1/2/19 

cancellation of program certification; 15 CSR 30-70.040; 10/1/18, 
1/15/19 

definitions; 

15 CSR 30-70.010; 10/1/18, 1/15/19 
15 CSR 30-130.010; 1/2/19 
disciplinary actions; 15 CSR 30-130.070; 1/2/19 
disclosure to law enforcement; 15 CSR 30-70.090; 10/1/18, 
1/15/19 

exercise of program participant’s privileges; 15 CSR 30-70.050; 
10/1/18, 1/15/19 

fees; 15 CSR 30-130.030; 1/2/19 
hearings; 15 CSR 30-130.090; 1/2/19 

program participant application and certification process; 15 CSR 
30-70.030; 10/1/18, 1/15/19 

program participant renewal; 15 CSR 30-70.070; 10/1/18, 1/15/19 
proof of positive working capital, bonds and letters; 15 CSR 30- 
130.060; 1/2/19 

request for hearing; 15 CSR 30-130.080; 1/2/19 
service of process; 15 CSR 30-70.060; 10/1/18, 1/15/19 
use of assurance organization by applicant: 15 CSR 30- 
130.050; 1/2/19 

SOCIAL SERVICES, DEPARTMENT OF 

annual fee; 

13 CSR 30-10.010; 9/17/18, 2/15/19 
13 CSR 40-110.040; 9/17/18, 2/15/19 
basis for licensure and licensing procedures; 

13 CSR 35-73.012; 10/1/18, 3/1/19 
13 CSR 40-73.012; 10/1/18, 3/1/19 
case plan; 

13 CSR 35-35.050; 9/17/18, 2/15/19 
13 CSR 40-30.010; 9/17/18 

computation of provider overpayment by statistical sampling; 13 
CSR 65-3.060; 10/1/18, 3/1/19 
developmental disability care provider tax credit; 13 CSR 10- 
3.030; 9/4/18, 2/1/19 

definition of earned income; 13 CSR 40-2.050; 9/17/18, 2/15/19 
definitions relating to PTD; 13 CSR 40-2.100; 9/17/18, 2/15/19 
diaper bank tax credit; 13 CSR 10-3.060; 3/1/19 
domestic violence shelter tax credit; 13 CSR 10-3.040; 9/4/18, 
2/1/19 

exemption of child placing agencies from licensure; 13 CSR 40- 
73.015; 10/1/18 

household composition; 13 CSR 40-7.020; 9/17/18, 2/15/19 
immediate income withholding exceptions for child support orders; 
13 CSR 30-4.020; 9/17/18, 2/15/19 
13 CSR 40-104.010; 9/17/18, 2/15/19 
incentives; 

13 CSR 30-9.010; 9/17/18, 2/15/19 
13 CSR 40-108.030; 9/17/18, 2/15/19 
maternity home tax credit; 13 CSR 10-3.050: 9/4/18, 2/1/19 
minimum record-keeping requirements for county reimbursement 
and standardization of claims submissions; 

13 CSR 40-3.020; 9/17/18 

13 CSR 40-108.020; 9/17/18, 2/15/19 



March 1, 2019 
Vol. 44, No. 5 


Missouri Register 


Page 889 


organization and operation; 

13 CSR 5-2.010; 9/17/18, 2/15/19 
13 CSR 45-2.010; 9/17/18, 2/15/19 
out of home investigation unit; 13 CSR 35-31.015; 9/17/18, 
2/15/19 

participant lock-in program; 13 CSR 65-3.010; 9/4/18, 1/15/19, 
3/1/19 

pregnancy resource center tax credit; 13 CSR 10-3.020; 9/4/18, 
2/1/19 

prohibition against expenditure of appropriated funds for abortion 
facilities; 13 CSR 10-4.010; 8/15/18, 1/15/19 
prosecuting attorneys’ performance standards; 

13 CSR 30-2.010; 9/17/18, 2/15/19 
13 CSR 40-108.040; 9/17/18, 2/15/19 
residential treatment agency tax credit; 13 CSR 10-3.010; 9/4/18, 
2/1/19 

standards for inspection of facilities or premises funded by federal 
departments other than health and human services; 13 CSR 
15-19.010; 10/1/18, 3/1/19 

unmet health, hunger, and hygiene needs of children in school tax 
credit; 13 CSR 10-3.070; 3/1/19 

SOLID WASTE MANAGEMENT 

coal combustion residuals surface impoundments; 10 CSR 80- 
12.010; 2/1/19 

definitions; 10 CSR 80-2.010; 2/1/19 
demolition landfill; 10 CSR 80-4.010; 8/1/18, 1/15/19 
design and operation; 10 CSR 80-3.010; 8/1/18, 1/15/19 
infectious waste management; 10 CSR 80-7.010; 7/16/18, 1/2/19 
local solid waste management; 10 CSR 80-6.010; 7/16/18, 1/2/19 
scrap tire cleanup contracts; 10 CSR 80-9.035; 5/15/18, 1/2/19 
scrap tire collection centers and end-user registration; 10 CSR 80- 
8.020; 7/16/18, 1/2/19 

scrap tire grants; 10 CSR 80-9.030; 5/15/18, 1/2/19 
scrap tire hauler permits; 10 CSR 80-8.030; 7/16/18 
scrap tire processing permits; 10 CSR 80-8.050; 7/16/18, 1/2/19 
utility waste and coal combustion residuals landfills; 10 CSR 
80-11.010; 2/1/19 

STATE PARKS 

camping and recreational activities; 10 CSR 90-2.030; 7/16/18, 
1/2/19 

definitions; 10 CSR 90-2.010; 7/16/18, 1/2/19 

fencing on park-owned property; 10 CSR 90-2.070 ; 7/16/18, 1/2/19 

organized group camps; 10 CSR 90-2.050; 7/16/18, 1/2/19 

park management; 10 CSR 90-2.020; 7/16/18, 1/2/19 

park property; 10 CSR 90-2.040; 7/16/18, 1/2/19 

WELL INSTALLATION 

application for a permit; 10 CSR 23-1.060; 8/1/18, 1/15/19 
certification and registration; 10 CSR 23-2.020; 8/1/18, 1/15/19 
certification and registration for monitoring wells; 10 CSR 23- 
4.020; 8/1/18, 1/15/19 

certification and registration of heat pump systems; 10 CSR 23- 
5.020; 8/1/18, 1/15/19 

certification and registration reports; 10 CSR 23-3.060; 8/1/18, 
1/15/19 

confidentiality of registration report form; 10 CSR 23-6.060; 
8/1/18, 1/15/19 

construction standards for closed-loop heat pump wells; 10 CSR 
23-5.050; 8/1/18, 1/15/19 

construction standards for monitoring wells; 10 CSR 23-4.060; 
8/1/18, 1/15/19 

construction standards for open-loop heat pump systems; 10 CSR 
23-5.060; 8/1/18, 1/15/19 

construction standards for test holes; 10 CSR 23-6.040; 8/1/18, 
1/15/19 

definitions 

10 CSR 23-1.010; 8/1/18, 1/15/19 


10 CSR 23-4.010; 8/1/18, 1/15/19 
10 CSR 23-5.010; 8/1/18, 1/15/19 
10 CSR 23-6.010; 8/1/18, 1/15/19 
denial of application; 10 CSR 23-1.080; 8/1/18, 1/15/19 
disciplinary action; 10 CSR 23-1.075; 8/1/18, 1/15/19 
drilling areas; 10 CSR 23-3.090; 8/1/18, 1/15/19 
fee structure; 10 CSR 23-2.010; 8/1/18, 1/15/19 
general protection of groundwater quality and resources 
10 CSR 23-3.020; 8/1/18, 1/15/19 
10 CSR 23-4.050; 8/1/18, 1/15/19 
10 CSR 23-5.030; 8/1/18, 1/15/19 
10 CSR 23-6.020; 8/1/18, 1/15/19 
liners; 10 CSR 23-3.080; 8/1/18, 1/15/19 
location of heat pump wells; 10 CSR 23-5.040; 8/1/18, 1/15/19 
location of test holes; 10 CSR 23-6.030; 8/1/18, 1/15/19 
location of wells 

10 CSR 23-3.010; 8/1/18, 1/15/19 
10 CSR 23-4.030; 8/1/18, 1/15/19 
mail and notification procedures; 10 CSR 23-1.160; 8/1/18, 

1/15/19 

permit renewal; 10 CSR 23-1.105; 8/1/18, 1/15/19 

permits; 10 CSR 23-1.090; 8/1/18, 1/15/19 

permittee qualifications, testing procedures, and permit application; 

10 CSR 23-1.050; 8/1/18, 1/15/19 
plastic well casing; 10 CSR 23-3.070; 8/1/18, 1/15/19 
plugging of heat pump wells; 10 CSR 23-5.080; 8/1/18, 1/15/19 
plugging of monitoring wells; 10 CSR 23-4.080; 8/1/18, 1/15/19 
plugging of test holes; 10 CSR 23-6.050; 8/1/18, 1/15/19 
plugging of water wells; 10 CSR 23-3.110; 8/1/18, 1/15/19 
pump installation and wellhead completion; 10 CSR 23-3.050; 
8/1/18, 1/15/19 

reinstatement; 10 CSR 23-1.130; 8/1/18, 1/15/19 
sensitive areas; 10 CSR 23-3.100; 8/1/18, 1/15/19 
standards for construction of water wells; 10 CSR 23-3.030; 

8/1/18, 1/15/19 

types of wells; 10 CSR 23-1.030; 8/1/18, 1/15/19 

variances; 10 CSR 23-1.040; 8/1/18, 1/15/19 

vehicle and machine registration; 10 CSR 23-1.140; 8/1/18, 

1/15/19 

well casing seals and connections; 10 CSR 23-3.040; 8/1/18, 
1/15/19 

well drilling and pump installation machine registration; 10 CSR 
23-1.155; 8/1/18, 1/15/19 

YOUTH SERVICES, DIVISION OF 

administrative decisions affecting the rights of youth in DYS 
facilities; 13 CSR 110-2.120; 9/17/18, 2/15/19 
aftercare involvement during residential treatment; 13 CSR 110- 
3.020; 10/1/18, 3/1/19 
annual fee;13 CSR 40-110.040; 9/17/18 
community-based diversionary programs; 13 CSR 110-7.010; 

1/2/19 

comprehensive individual treatment plans; 13 CSR 110-3.010; 
11/1/18 

division of youth services trust fund program; 13 CSR 110-8.010; 
2/1/19 

division of youth services child benefits program; 13 CSR 110- 
8.020; 2/1/19 

furlough policies and procedures; 13 CSR 110-2.060; 9/17/18, 
2/15/19 

grievance procedures for youth in aftercare; 13 CSR 110-3.060; 
11/1/18 

instructions for the implementation of revocation procedure; 13 
CSR 110-3.050; 11/15/18 

revocation of aftercare supervision; 13 CSR 110-3.040; 11/1/18 
safe school act procedures; 13 CSR 110-3.015; 10/1/18, 3/1/19 




MISSOURI STATE 
RULEMAKING MANUAL 



John R. Ashcroft 
Secretary of State 


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online at www.sos.mo.gov/adrules/manual/manual for state agen¬ 
cies to assist in preparing all types of rulemakings. 


For information about rule drafting classes call (573) 751-4015. 



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